Provider Demographics
NPI:1467114272
Name:CAROLINAS RESEARCH CENTER
Entity Type:Organization
Organization Name:CAROLINAS RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESEARCH MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADETUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-595-7887
Mailing Address - Street 1:1805 MILTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-2437
Mailing Address - Country:US
Mailing Address - Phone:704-595-7887
Mailing Address - Fax:
Practice Address - Street 1:1805 MILTON RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2437
Practice Address - Country:US
Practice Address - Phone:704-595-7887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch