| Vo Nc Toddville | |
|
1809 Toddville Rd Charlotte NC 28214-2438 | |
| (743) 918-0771 | |
| Not Available |
| Full Name | Vo Nc Toddville |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1809 Toddville Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Angie Mattingly (PROVIDER ENROLLMENT MGR) |
| Authorized Official Contact | 5023813579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vo Nc Toddville 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 381-3579 | Vo Nc Toddville 1809 Toddville Rd Charlotte NC 28214-2438 Ph: (743) 918-0771 |
| NPI Number | 1629198619 |
|---|---|
| Provider Enumeration Date | 03/31/2007 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629198619 | NPI | - | NPPES |
| 340606R | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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