is a Family Medicine in Charlotte, North Carolina. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1043261647. The last update date is .
's current location address is 11304 Hawthorne Dr, Charlotte, North Carolina. You can contact this provider via phone number 7043848760 and fax number 7043848783. The mailing address for is 11304 Hawthorne Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11304 Hawthorne Dr, Charlotte, North Carolina |
| Phone Number | 7043848760 |
| Fax Number | 7043848783 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043261647 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11304 Hawthorne Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282270 |
| Phone Number | 7043848760 |
| Fax Number | 7043848783 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0275V | NC | BCBS-NC | |
| CC5118 | NC | RAILROAD MEDICARE | |
| 890275V | NC | -- |
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