Provider Demographics
NPI:1477654242
Name:DRS HULL, BURROW, CASE & COLEMAN PA
Entity Type:Organization
Organization Name:DRS HULL, BURROW, CASE & COLEMAN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:D
Authorized Official - Last Name:STUMPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-334-7202
Mailing Address - Street 1:2711 RANDOLPH RD
Mailing Address - Street 2:SUITE #600
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207
Mailing Address - Country:US
Mailing Address - Phone:704-334-7202
Mailing Address - Fax:704-372-2690
Practice Address - Street 1:2711 RANDOLPH RD
Practice Address - Street 2:SUITE #600
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207
Practice Address - Country:US
Practice Address - Phone:704-334-7202
Practice Address - Fax:704-372-2690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty