Provider Demographics
NPI:1588179543
Name:CARTERET SURGICAL ASSOCIATES P.A.
Entity Type:Organization
Organization Name:CARTERET SURGICAL ASSOCIATES P.A.
Other - Org Name:CAROLINAS CENTER FOR SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-222-5862
Mailing Address - Street 1:3714 GUARDIAN AVNEUE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:252-222-5862
Mailing Address - Fax:
Practice Address - Street 1:775-2 WEST CORBETT AVENUE
Practice Address - Street 2:
Practice Address - City:SWANSBORO
Practice Address - State:NC
Practice Address - Zip Code:28564
Practice Address - Country:US
Practice Address - Phone:910-325-0211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARTERET SURGICAL ASSOCIATES P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty