Provider Demographics
NPI:1588680540
Name:STERLING HOSPITALIST SERVICES OF NORTH CAROLINA INC.
Entity type:Organization
Organization Name:STERLING HOSPITALIST SERVICES OF NORTH CAROLINA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUCHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-638-5931
Mailing Address - Street 1:PO BOX 536910
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-6910
Mailing Address - Country:US
Mailing Address - Phone:800-514-1494
Mailing Address - Fax:904-805-1456
Practice Address - Street 1:612 MOCKSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2732
Practice Address - Country:US
Practice Address - Phone:704-210-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905831Medicaid
NC018FKOtherBCBS
NC018FKOtherBCBS
NC5905831Medicaid