Superior Health Medical, Pllc | |
8322 Pineville Matthews Rd Ste 602 Charlotte NC 28226-4823 | |
(704) 389-9040 | |
(704) 396-8388 |
Full Name | Superior Health Medical, Pllc |
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Speciality | Family Medicine |
Location | 8322 Pineville Matthews Rd Ste 602, Charlotte, North Carolina |
Authorized Official Name and Position | Lisette Maria Akers (CEO/MANAGER) |
Authorized Official Contact | 9803229742 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Superior Health Medical, Pllc 8022 Providence Rd Unit 500-165 Charlotte NC 28277-9719 Ph: (980) 322-9742 | Superior Health Medical, Pllc 8322 Pineville Matthews Rd Ste 602 Charlotte NC 28226-4823 Ph: (704) 389-9040 |
NPI Number | 1407595085 |
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Provider Enumeration Date | 06/01/2022 |
Last Update Date | 06/01/2022 |
Medicare PECOS PAC ID | 2961885454 |
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Medicare Enrollment ID | O20220816002592 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407595085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lisette M Akers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972714988 PECOS PAC ID: 5890981542 Enrollment ID: I20101122000169 |
Provider Name | Jamayla J Culpepper |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1093980765 PECOS PAC ID: 1850560947 Enrollment ID: I20110805000578 |
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