Provider Demographics
NPI:1801985395
Name:CAROLINAS WOMEN'S CENTER, P.A.
Entity type:Organization
Organization Name:CAROLINAS WOMEN'S CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MITCHELL-FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-277-3331
Mailing Address - Street 1:105 MCALPINE LN
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-4637
Mailing Address - Country:US
Mailing Address - Phone:910-277-3331
Mailing Address - Fax:910-277-3336
Practice Address - Street 1:105 MCALPINE LN
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-4637
Practice Address - Country:US
Practice Address - Phone:910-277-3331
Practice Address - Fax:910-277-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0172QOtherNC BCBS GROUP NUMBER
NC2334943OtherNC MEDICARE GROUP NUMBER
NC590172QOtherNC MEDICAID GROUP NUMBER
NCCG9085OtherRR MEDICARE GROUP NUMBER
SCNPA864OtherSC MEDICAID GROUP NUMBER