DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PURPOSE OF LIFE

Active Organization

Point of Service · CHARLOTTE, NC

Registration Details

NPI Number
1144519125
Provider Type
Organization
NPI Issued
Mar 30, 2011 (15.062611833149 yrs)
Last Updated
Mar 30, 2011

Practice Information

Address
2601 PALM AVE
CHARLOTTE, NC, 282052239
Browse NC providers · Browse ZIP 28205
Phone
7043458825
Fax
7049000787
Primary Specialty
Point of Service
305S00000X

Other Point of Service Organizations in CHARLOTTE, NC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.