| Charlotte Sports Performance And Rehab, Llc | |
|
2935 Providence Rd, Suite 204, Charlotte, NC 28211-2750 | |
| (980) 237-4016 | |
| (866) 430-9402 |
| Full Name | Charlotte Sports Performance And Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2935 Providence Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184008914 | NPI | - | NPPES |
| NC4419B961 | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4207 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Sports Performance And Rehab, Llc 2935 Providence Rd, Suite 204, Charlotte, NC 28211-2750 Ph: (980) 237-4016 | Charlotte Sports Performance And Rehab, Llc 2935 Providence Rd, Suite 204, Charlotte, NC 28211-2750 Ph: (980) 237-4016 |
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