| Keith & Moustafa, Llc | |
|
9635 Southern Pine Blvd Ste 126 Charlotte NC 28273-5558 | |
| (704) 749-3808 | |
| (866) 408-8142 |
| Full Name | Keith & Moustafa, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9635 Southern Pine Blvd Ste 126, Charlotte, North Carolina |
| Authorized Official Name and Position | Juenarrl Keith (OWNER) |
| Authorized Official Contact | 7047493808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith & Moustafa, Llc 9635 Southern Pine Blvd Ste 126 Charlotte NC 28273-5558 Ph: (704) 749-3808 | Keith & Moustafa, Llc 9635 Southern Pine Blvd Ste 126 Charlotte NC 28273-5558 Ph: (704) 749-3808 |
| NPI Number | 1972895423 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972895423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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