| Boondock Express | |
|
9927 Jeanette Cir Charlotte NC 28213-2129 | |
| (980) 229-8303 | |
| Not Available |
| Full Name | Boondock Express |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 9927 Jeanette Cir, Charlotte, North Carolina |
| Authorized Official Name and Position | Hasan A Abdushahid (OWNER) |
| Authorized Official Contact | 9802298303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boondock Express 9927 Jeanette Cir Charlotte NC 28213-2129 Ph: (980) 229-8303 | Boondock Express 9927 Jeanette Cir Charlotte NC 28213-2129 Ph: (980) 229-8303 |
| NPI Number | 1932978517 |
|---|---|
| Provider Enumeration Date | 12/25/2023 |
| Last Update Date | 12/25/2023 |
| Certification Date | 12/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932978517 | NPI | - | NPPES |
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