| Advanced Regenerative Care Of Charlotte, Pllc | |
|
10734b Monroe Rd Matthews NC 28105-8397 | |
| (704) 841-0240 | |
| Not Available |
| Full Name | Advanced Regenerative Care Of Charlotte, Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 10734b Monroe Rd, Matthews, North Carolina |
| Authorized Official Name and Position | Brian Kean (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048410240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Regenerative Care Of Charlotte, Pllc 504 Red Banks Rd Ste C Greenville NC 27858-5766 Ph: (252) 321-3579 | Advanced Regenerative Care Of Charlotte, Pllc 10734b Monroe Rd Matthews NC 28105-8397 Ph: (704) 841-0240 |
| NPI Number | 1306479837 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 04/02/2020 |
| Medicare PECOS PAC ID | 6406285709 |
|---|---|
| Medicare Enrollment ID | O20200420002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306479837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Larry Terrell Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134121221 PECOS PAC ID: 9032165121 Enrollment ID: I20110606000760 |
| Provider Name | Harrison Gabriel Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518143460 PECOS PAC ID: 1759554298 Enrollment ID: I20111028000603 |
| Provider Name | Suzanna Myalik Stefoglo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245886233 PECOS PAC ID: 4789095837 Enrollment ID: I20201123000807 |
Novant Health Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Matthews Township Parkway Ste 280, Matthews, NC 28105 Phone: 704-316-5166 Fax: 704-316-5167 | |
Conner Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W Matthews St, Ste 102, Matthews, NC 28105 Phone: 704-708-4301 Fax: 704-708-4389 | |
Reach Your Peak Chiropractic Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2940 Senna Dr, Suite B, Matthews, NC 28105 Phone: 704-847-4044 Fax: 704-844-9404 | |
Gapover Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5023 Weddington Matthews Rd, Matthews, NC 28104 Phone: 704-724-0909 Fax: 704-846-0538 | |
Metroview Healthcare Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E John St Ste 2501, Matthews, NC 28105 Phone: 704-882-4743 | |
Rockingham Medical Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Matthews St Ste 400, Matthews, NC 28105 Phone: 980-339-7442 Fax: 980-339-5925 | |
Chestnut Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 Chestnut Ln, Suite 110, Matthews, NC 28104 Phone: 704-268-9267 |