| Carolina Medical Clinic | |
|
1000 Copperfield Blvd Ne Suite 124 Concord NC 28025 | |
| (704) 782-6868 | |
| (704) 782-7585 |
| Full Name | Carolina Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Copperfield Blvd Ne, Concord, North Carolina |
| Authorized Official Name and Position | Amin Charania (DIRECTOR) |
| Authorized Official Contact | 7047826868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Medical Clinic 1000 Copperfield Blvd Ne Suite 124 Concord NC 28025 Ph: (704) 782-6868 | Carolina Medical Clinic 1000 Copperfield Blvd Ne Suite 124 Concord NC 28025 Ph: (704) 782-6868 |
| NPI Number | 1891796439 |
|---|---|
| Provider Enumeration Date | 08/04/2005 |
| Last Update Date | 03/02/2015 |
| Medicare PECOS PAC ID | 1052316932 |
|---|---|
| Medicare Enrollment ID | O20060927000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891796439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Amin A Charania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639174295 PECOS PAC ID: 0345245221 Enrollment ID: I20060927000522 |
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