Provider Demographics
NPI:1336903269
Name:BARIATRIC SPECIALISTS OF THE CAROLINAS, PLLC
Entity Type:Organization
Organization Name:BARIATRIC SPECIALISTS OF THE CAROLINAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:561-628-7115
Mailing Address - Street 1:160 MACGREGOR PINES DR STE 310
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6037
Mailing Address - Country:US
Mailing Address - Phone:919-410-1959
Mailing Address - Fax:
Practice Address - Street 1:160 MACGREGOR PINES DR STE 310
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6037
Practice Address - Country:US
Practice Address - Phone:919-410-1959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131T9OtherBCBSNC PPN - PAUL ENOCHS
1558339036OtherNPI
NC15676OtherBCBSNC PPN - HARRY KURTZ