| Mint Hill Family Practice | |
|
11304 Hawthorne Dr Suite 100 Charlotte NC 28227 | |
| (704) 384-8760 | |
| (704) 384-8783 |
| Full Name | Mint Hill Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 11304 Hawthorne Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Dinesh S. Pai (VP OF OPERATIONS) |
| Authorized Official Contact | 7043849113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Hill Family Practice Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7607 | Mint Hill Family Practice 11304 Hawthorne Dr Suite 100 Charlotte NC 28227 Ph: (704) 384-8760 |
| NPI Number | 1043261647 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043261647 | NPI | - | NPPES |
| 0275V | Other | NC | BCBS-NC |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| 890275V | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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