| Charlotte Medical Center Pllc | |
|
7940 Williams Pond Ln Suite 250 Charlotte NC 28277-8766 | |
| (704) 542-2500 | |
| (704) 542-2592 |
| Full Name | Charlotte Medical Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7940 Williams Pond Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Tuan Huynh (OWNER) |
| Authorized Official Contact | 7045422500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Medical Center Pllc 7940 Williams Pond Lane Suite 250 Charlotte NC 28277-8412 Ph: (704) 542-2500 | Charlotte Medical Center Pllc 7940 Williams Pond Ln Suite 250 Charlotte NC 28277-8766 Ph: (704) 542-2500 |
| NPI Number | 1194141978 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Medicare PECOS PAC ID | 3375774730 |
|---|---|
| Medicare Enrollment ID | O20140327001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194141978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 140038 (North Carolina) | Primary |
| Provider Name | Tuan A Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669456513 PECOS PAC ID: 3971734336 Enrollment ID: I20140327001662 |
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