| Mountain Summit Medical Llc | |
|
10523 Kempsford Dr Charlotte NC 28262-2720 | |
| (980) 337-0353 | |
| Not Available |
| Full Name | Mountain Summit Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10523 Kempsford Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Tremika Rene Woodley (NP) |
| Authorized Official Contact | 9803370353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Summit Medical Llc Po Box 621858 Charlotte NC 28262-0128 Ph: (980) 337-0353 | Mountain Summit Medical Llc 10523 Kempsford Dr Charlotte NC 28262-2720 Ph: (980) 337-0353 |
| NPI Number | 1326579640 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326579640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5009223 (North Carolina) | Primary |
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