| Prestige Health & Wellness Center, Pllc | |
|
2711 Randolph Rd Suite 207 Charlotte NC 28207-2034 | |
| (704) 910-5982 | |
| (704) 733-9796 |
| Full Name | Prestige Health & Wellness Center, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2711 Randolph Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Devon M Rambert-hairston (FAMILY PRACTITIONER) |
| Authorized Official Contact | 7049105982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Health & Wellness Center, Pllc 2711 Randolph Rd Suite 207 Charlotte NC 28207-2034 Ph: (704) 910-5982 | Prestige Health & Wellness Center, Pllc 2711 Randolph Rd Suite 207 Charlotte NC 28207-2034 Ph: (704) 910-5982 |
| NPI Number | 1821521451 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821521451 | NPI | - | NPPES |
| 7005652 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5004878 (North Carolina) | Primary |
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