| North Mecklenburg Family Practice Group Pa | |
|
6111 Rumple Rd Charlotte NC 28262 | |
| (704) 596-5067 | |
| (704) 599-9458 |
| Full Name | North Mecklenburg Family Practice Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6111 Rumple Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Jerome Howard (MD PRESIDENT) |
| Authorized Official Contact | 7045965067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Mecklenburg Family Practice Group Pa 6111 Rumple Rd Charlotte NC 28262 Ph: (704) 596-5067 | North Mecklenburg Family Practice Group Pa 6111 Rumple Rd Charlotte NC 28262 Ph: (704) 596-5067 |
| NPI Number | 1225139660 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225139660 | NPI | - | NPPES |
| 44170 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NC18523 (North Carolina) | Primary |
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