Provider Demographics
NPI:1275530651
Name:HEART GROUP OF THE CAROLINAS
Entity Type:Organization
Organization Name:HEART GROUP OF THE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:ANONICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-783-1010
Mailing Address - Street 1:100 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2948
Mailing Address - Country:US
Mailing Address - Phone:704-783-1010
Mailing Address - Fax:704-856-6127
Practice Address - Street 1:100 MEDICAL PARK DR
Practice Address - Street 2:SUITE 210
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2948
Practice Address - Country:US
Practice Address - Phone:704-783-1010
Practice Address - Fax:704-856-6127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty