The Carolina Men's Clinic
NPI #1548666878 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1548666878
- Entity Type
- Organization
- Organization Name
- The Carolina Men's Clinic
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 13, 2014
- Last Updated
- Nov 13, 2014
Practice Location
- Address
- 122 GATEWAY BLVD STE D
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-5544
- Phone
- (704) 981-4490
Authorized Official
- Name
- MR. MICHAEL BEAUCHAINE, PA
- Title
- PHYSICIAN ASSISTANT
- Phone
- (704) 981-4490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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