Provider Demographics
NPI:1528584034
Name:CAROLINA DONOR SERVICES
Entity Type:Organization
Organization Name:CAROLINA DONOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:MIZELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:252-757-0090
Mailing Address - Street 1:909 E ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5864
Mailing Address - Country:US
Mailing Address - Phone:252-757-0090
Mailing Address - Fax:252-757-0708
Practice Address - Street 1:909 E ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5864
Practice Address - Country:US
Practice Address - Phone:252-757-0090
Practice Address - Fax:252-757-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC335U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization