| Campus Medical Llc | |
|
10850 Providence Rd # 1005 Charlotte NC 28277-2684 | |
| (844) 888-0404 | |
| Not Available |
| Full Name | Campus Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10850 Providence Rd # 1005, Charlotte, North Carolina |
| Authorized Official Name and Position | Ericka Martin (OWNER) |
| Authorized Official Contact | 8448880404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campus Medical Llc 10850 Providence Rd # 1005 Charlotte NC 28277-2684 Ph: (844) 888-0404 | Campus Medical Llc 10850 Providence Rd # 1005 Charlotte NC 28277-2684 Ph: (844) 888-0404 |
| NPI Number | 1184201311 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 5991103228 |
|---|---|
| Medicare Enrollment ID | O20211018000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184201311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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