Novant Health Memory Care | |
6324 Fairview Rd Ste 310 Charlotte NC 28210-4172 | |
(980) 302-8680 | |
(980) 302-8681 |
Full Name | Novant Health Memory Care |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 6324 Fairview Rd Ste 310, Charlotte, North Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
Authorized Official Contact | 7043166081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Novant Health Memory Care Po Box 60447 Charlotte NC 28260-0447 Ph: (980) 302-8680 | Novant Health Memory Care 6324 Fairview Rd Ste 310 Charlotte NC 28210-4172 Ph: (980) 302-8680 |
NPI Number | 1184267007 |
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Provider Enumeration Date | 10/23/2019 |
Last Update Date | 07/19/2024 |
Certification Date | 07/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184267007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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