Gina Licause in Charlotte - Family Medicine

Gina Licause - NPI 1699762039

Gina Licause is a Family Medicine in Charlotte, North Carolina. Gina Licause practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gina Licause is 1699762039. The last update date is 2021-09-27.

Gina Licause's current location address is 101 E Wt Harris Blvd, Charlotte, North Carolina. You can contact this provider via phone number 7048017310. The mailing address for Gina Licause is 101 E Wt Harris Blvd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gina Licause
Address 101 E Wt Harris Blvd, Charlotte, North Carolina
Phone Number 7048017310
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699762039
Provider Enumeration Date 2005-09-30
Last Updated Date 2021-09-27

Provider Mailing Address Detail

Address 101 E Wt Harris Blvd
City Charlotte
State North Carolina (NC)
Post Code 282623485
Phone Number 7048017310
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 35695
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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FAQs about Gina Licause

What is the unique 10-digit identifier code assigned to Gina Licause by the Centers for Medicare & Medicaid Services?

The Gina Licause has been issued the NPI (National Provider Identifier) 1699762039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Gina Licause is physically located?

The Gina Licause is situated at the following address: 101 E Wt Harris Blvd, Charlotte, NC 282623485.

What is Gina Licause's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gina Licause's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When was the Gina Licause's 1699762039 issued?

The Gina Licause's 1699762039 was issued on 2005-09-30.

When was the Gina Licause's information last updated?

The Gina Licause's information was last updated on 2021-09-27.

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