| Demsie Medical Services | |
|
7230 S Creek Rd Charlotte NC 28277-4345 | |
| (704) 621-1680 | |
| Not Available |
| Full Name | Demsie Medical Services |
|---|---|
| Speciality | Hospitalist |
| Location | 7230 S Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Amy Bogart (CREDENTIALING) |
| Authorized Official Contact | 8002947001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Demsie Medical Services Po Box 77012 Charlotte NC 28271-7000 Ph: () - | Demsie Medical Services 7230 S Creek Rd Charlotte NC 28277-4345 Ph: (704) 621-1680 |
| NPI Number | 1316655251 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Medicare PECOS PAC ID | 4688045248 |
|---|---|
| Medicare Enrollment ID | O20230119000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316655251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Tameru D Demsie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891081618 PECOS PAC ID: 4587836259 Enrollment ID: I20111003000294 |
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