Organization Name:  CAROLINA ASTHMA AND ALLERGY CENTER PA


Practice Location:
2630 E 7TH ST SUITE 100 CHARLOTTE, NC 28204 US
Tel: 704-372-7900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NC	00-18118

Other Provider Identifiers:

Issuer	Number	State	Type
	7901284	NC	05
	E01284	SC	05
BCBS	01284	NC	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin