| Eastover Internal Medicine | |
|
2608 E 7th St Charlotte NC 28204-4375 | |
| (704) 344-9034 | |
| (704) 344-9544 |
| Full Name | Eastover Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2608 E 7th St, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7073550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastover Internal Medicine 5000 Airport Center Pkwy Ste A Attn: Shanna Charlotte NC 28208-5899 Ph: (704) 512-4116 | Eastover Internal Medicine 2608 E 7th St Charlotte NC 28204-4375 Ph: (704) 344-9034 |
| NPI Number | 1841220514 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841220514 | NPI | - | NPPES |
| 8902682 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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