| Choice Unlimited, Llc | |
|
128 E Garrison Blvd Ste A Gastonia NC 28054-0421 | |
| (704) 807-5591 | |
| Not Available |
| Full Name | Choice Unlimited, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 128 E Garrison Blvd Ste A, Gastonia, North Carolina |
| Authorized Official Name and Position | Deidra Francis (CEO) |
| Authorized Official Contact | 7048075591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Unlimited, Llc 9017 Socata Way Charlotte NC 28269-2851 Ph: (704) 807-5591 | Choice Unlimited, Llc 128 E Garrison Blvd Ste A Gastonia NC 28054-0421 Ph: (704) 807-5591 |
| NPI Number | 1790419869 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 6507237294 |
|---|---|
| Medicare Enrollment ID | O20230117000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790419869 | NPI | - | NPPES |
| Provider Name | Vivian A Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811229362 PECOS PAC ID: 8022314426 Enrollment ID: I20160310002257 |
| Provider Name | Altonette M Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093340317 PECOS PAC ID: 7719317007 Enrollment ID: I20200429001981 |
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