| Idlewild Medical Center | |
|
6101 Idlewild Rd Suite 300 Charlotte NC 28212-0517 | |
| (704) 531-0990 | |
| (704) 531-0464 |
| Full Name | Idlewild Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6101 Idlewild Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Joseph David Spataro (OWNER) |
| Authorized Official Contact | 7045310990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idlewild Medical Center 6101 Idlewild Rd Suite 300 Charlotte NC 28212-0517 Ph: (704) 531-0990 | Idlewild Medical Center 6101 Idlewild Rd Suite 300 Charlotte NC 28212-0517 Ph: (704) 531-0990 |
| NPI Number | 1932398294 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932398294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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