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CHARLOTTE RESTORATION NPI 1285099804


NPI Information

NPI: 1285099804
Provider Name: CHARLOTTE RESTORATION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5970 FAIRVIEW RD
SUITE 215
CHARLOTTE, NC
ZIP 28210
Phone: (704) 617-2649
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CHARLOTTE RESTORATION is a medical specialty clinic center in Charlotte, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHARLOTTE RESTORATION NPI is 1285099804. The provider is registered as an organization entity type.

The provider's business location address is:

5970 FAIRVIEW RD
SUITE 215
CHARLOTTE, NC
ZIP 28210-167
Phone: (704) 617-2649

The provider's authorized official is Eric Semeko .
The authorized official title is Physician and has the following contact phone number (704) 617-2649.

The enumeration date for this NPI number is 12/25/2015 and was last updated on 12/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty200400163NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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