OrganizationCarolina Surgical Specialists, PaSurgeryAllopathic & Osteopathic PhysiciansPractice Address1220 Walter Reed Rd, Suite 102, Fayetteville, NC 28304-4430(910) 426-2224PECOS EnrollmentBased on the most recent information from CMS, provider Carolina Surgical Specialists, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1457335507Provider TypeOrganizationFull NameCarolina Surgical Specialists, PaSubpartNoEnumeration Date12/2/2005Last Updated8/8/2014Contact InformationPractice LocationPractice Address1220 Walter Reed Rd, Suite 102, Fayetteville, NC 28304-4430Phone(910) 426-2224Fax(910) 826-2228Mailing LocationMailing Address1220 Walter Reed Rd, Suite 102, Fayetteville, NC 28304-4430Phone(910) 426-2224Fax(910) 826-2228Authorized OfficialNameIgwilo, Obinna Chukwudi (President)Phone(910) 426-2224Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID89128RXDescriptionMedicaidIssuerUnlistedNorth Carolina