Provider Demographics
NPI:1356589386
Name:CAROLINA MEDICAL & REHAB CENTER , PC
Entity type:Organization
Organization Name:CAROLINA MEDICAL & REHAB CENTER , PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROJECT MANG
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:828-894-0377
Mailing Address - Street 1:89 WEST MILLS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-0955
Mailing Address - Country:US
Mailing Address - Phone:828-894-0377
Mailing Address - Fax:828-894-0760
Practice Address - Street 1:89 WEST MILLS STREET
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-0955
Practice Address - Country:US
Practice Address - Phone:828-894-0377
Practice Address - Fax:828-894-0760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38641174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704981Medicaid