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

PROVIDENCE MEDICAL CLINIC, INC.

Active Organization

PROVIDENCE MEDICAL CLINIC, INC. is a Internal Medicine organization located in CONCORD, North Carolina. NPI 1336155951 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CONCORD, NC

Registration Details

NPI Number
1336155951
Provider Type
Organization
NPI Issued
Aug 1, 2006 (20.064046052417 yrs)
Last Updated
Feb 1, 2010
Licenses
9900744 (NC)
NC9900744 (NC)

Practice Information

Address
271 NE EXECUTIVE PARK DRIVE
CONCORD, NC, 28025
Browse NC providers · Browse ZIP 28025
Phone
7047214232
Fax
7047214240
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
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.