| Immuno Professionals Pllc | |
|
9300 Harris Corners Pkwy Ste 160 Charlotte NC 28269-3791 | |
| (704) 921-5663 | |
| Not Available |
| Full Name | Immuno Professionals Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9300 Harris Corners Pkwy Ste 160, Charlotte, North Carolina |
| Authorized Official Name and Position | Rebecca Appleton-castillo (OWNER) |
| Authorized Official Contact | 7046588150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immuno Professionals Pllc 9300 Harris Corners Pkwy Ste 160 Charlotte NC 28269-3791 Ph: (704) 921-5663 | Immuno Professionals Pllc 9300 Harris Corners Pkwy Ste 160 Charlotte NC 28269-3791 Ph: (704) 921-5663 |
| NPI Number | 1578171724 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Medicare PECOS PAC ID | 8527483874 |
|---|---|
| Medicare Enrollment ID | O20200803002157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578171724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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