Geriatric Care Of The Carolinas, Pllc | |
6001 Graburns Ford Dr Charlotte NC 28269-7120 | |
(704) 232-0635 | |
(704) 866-0103 |
Full Name | Geriatric Care Of The Carolinas, Pllc |
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Speciality | Internal Medicine |
Location | 6001 Graburns Ford Dr, Charlotte, North Carolina |
Authorized Official Name and Position | Shakeer Mahmood (OWNER/MANAGER) |
Authorized Official Contact | 7042320635 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Care Of The Carolinas, Pllc Po Box 102 Huntersville NC 28070-0102 Ph: (704) 232-0635 | Geriatric Care Of The Carolinas, Pllc 6001 Graburns Ford Dr Charlotte NC 28269-7120 Ph: (704) 232-0635 |
NPI Number | 1538700745 |
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Provider Enumeration Date | 09/30/2019 |
Last Update Date | 01/02/2020 |
Medicare PECOS PAC ID | 6709210701 |
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Medicare Enrollment ID | O20191230000220 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538700745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shakeer Mahmood |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346228012 PECOS PAC ID: 1658554993 Enrollment ID: I20110324000563 |
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