Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolina Surgical Clinic of Charlotte, PA

Organization Surgery Physician · NPI 1245338557

Carolina Surgical Clinic of Charlotte, PA is a Surgery Physician in Charlotte, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2104 Randolph Rd
Charlotte, NC 28207-1522
Phone: (704) 377-3900
Fax: (704) 377-1244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1245338557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacque Greenway — Clinic Manager · (704) 377-3900
NPI enumeratedSeptember 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address2104 Randolph Rd, Charlotte, NC 28207-1522

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