| Calvary Medical Clinic Pa | |
|
537 W Sugar Creek Rd Suite 201 Charlotte NC 28213-6102 | |
| (704) 979-8210 | |
| (877) 492-8881 |
| Full Name | Calvary Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 537 W Sugar Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Magdalene Marfo (OWNER) |
| Authorized Official Contact | 7049798210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvary Medical Clinic Pa Po Box 79029 Charlotte NC 28271-7046 Ph: (704) 979-8210 | Calvary Medical Clinic Pa 537 W Sugar Creek Rd Suite 201 Charlotte NC 28213-6102 Ph: (704) 979-8210 |
| NPI Number | 1235303264 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 02/04/2016 |
| Medicare PECOS PAC ID | 9133421969 |
|---|---|
| Medicare Enrollment ID | O20160111000944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235303264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001-01471 (North Carolina) | Primary |
| Provider Name | Magdalene Marfo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992776330 PECOS PAC ID: 5799712808 Enrollment ID: I20050824000541 |
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