| Komp | |
|
9711 David Taylor Dr Ste 143 Charlotte NC 28262-2366 | |
| (704) 774-7249 | |
| Not Available |
| Full Name | Komp |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9711 David Taylor Dr Ste 143, Charlotte, North Carolina |
| Authorized Official Name and Position | Diane Jones Tomlin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7047747249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Komp Po Box 42102 Charlotte NC 28215-0002 Ph: (704) 774-7249 | Komp 9711 David Taylor Dr Ste 143 Charlotte NC 28262-2366 Ph: (704) 774-7249 |
| NPI Number | 1528766474 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 06/30/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528766474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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