| Eventus Wh Southeast, Llc | |
|
212 S Tyron St Ste 1000 Charlotte NC 28281-0006 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Wh Southeast, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 212 S Tyron St Ste 1000, Charlotte, North Carolina |
| Authorized Official Name and Position | George Hall (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Wh Southeast, Llc 101 Cabarrus Ave E Ste 200 Concord NC 28025-3781 Ph: () - | Eventus Wh Southeast, Llc 212 S Tyron St Ste 1000 Charlotte NC 28281-0006 Ph: (855) 743-2247 |
| NPI Number | 1487494811 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 5496294456 |
|---|---|
| Medicare Enrollment ID | O20240822002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487494811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | George D Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518149277 PECOS PAC ID: 4486668282 Enrollment ID: I20060201000098 |
| Provider Name | Gladys Kerubo Nyaruri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781511 PECOS PAC ID: 5597120782 Enrollment ID: I20230421001406 |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |