| Southeast Family Care Pllc | |
|
10035 Park Cedar Dr Ste 100 Charlotte NC 28210-8910 | |
| (704) 544-2524 | |
| (704) 544-2647 |
| Full Name | Southeast Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10035 Park Cedar Dr Ste 100, Charlotte, North Carolina |
| Authorized Official Name and Position | Hirenkumar D Italia (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7045129921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Family Care Pllc 3041 Daniel Place Dr Charlotte NC 28213 Ph: (704) 544-2524 | Southeast Family Care Pllc 10035 Park Cedar Dr Ste 100 Charlotte NC 28210-8910 Ph: (704) 544-2524 |
| NPI Number | 1831615160 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 08/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831615160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2013-01926 (North Carolina) | Primary |
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