| Pqa Healthcare,inc | |
|
409 E Front St Statesville NC 28677-5908 | |
| (704) 872-4077 | |
| Not Available |
| Full Name | Pqa Healthcare,inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 409 E Front St, Statesville, North Carolina |
| Authorized Official Name and Position | Khalil Nassar (CEO) |
| Authorized Official Contact | 3363562600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pqa Healthcare,inc 409 E Front St Statesville NC 28677-5908 Ph: (704) 872-4077 | Pqa Healthcare,inc 409 E Front St Statesville NC 28677-5908 Ph: (704) 872-4077 |
| NPI Number | 1659703718 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 08/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659703718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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