| Charlotte Primary Services Inc. | |
|
1235 East Blvd Charlotte NC 28203-5870 | |
| (252) 470-8358 | |
| Not Available |
| Full Name | Charlotte Primary Services Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1235 East Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Gonzalo Olivera (PRESIDENT) |
| Authorized Official Contact | 7047635948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Primary Services Inc. Po Box 85073 # 51164 Richmond VA 23285-5073 Ph: (704) 763-5948 | Charlotte Primary Services Inc. 1235 East Blvd Charlotte NC 28203-5870 Ph: (252) 470-8358 |
| NPI Number | 1710215959 |
|---|---|
| Provider Enumeration Date | 11/30/2009 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710215959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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