| Care Source Mobile | |
|
223 Gilead Rd Huntersville NC 28078-6897 | |
| (704) 380-5705 | |
| Not Available |
| Full Name | Care Source Mobile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 223 Gilead Rd, Huntersville, North Carolina |
| Authorized Official Name and Position | Shawna Allen (ADMINISTRATOR) |
| Authorized Official Contact | 7043805705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Source Mobile 223 Gilead Rd Huntersville NC 28078-6897 Ph: (704) 380-5705 | Care Source Mobile 223 Gilead Rd Huntersville NC 28078-6897 Ph: (704) 380-5705 |
| NPI Number | 1316639446 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316639446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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