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AA MANAGEMENT CORP NPI 1720019110


NPI Information

NPI: 1720019110
Provider Name: AA MANAGEMENT CORP

Doing Business As: AA PRIMECARE MEDICAL CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1401 E 7TH ST
SUITE 100
CHARLOTTE, NC
ZIP 28204
Phone: (704) 333-5606
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AA MANAGEMENT CORP is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AA MANAGEMENT CORP NPI is 1720019110. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aa Primecare Medical Center.

The provider's business location address is:

1401 E 7TH ST
SUITE 100
CHARLOTTE, NC
ZIP 28204-407
Phone: (704) 333-5606
Fax: (704) 333-5611

The provider's authorized official is Chad Daniel Howard .
The authorized official title is Medical Director and has the following contact phone number (704) 333-5606.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/4/2008.


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
1174400000XSpecialistNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15905847MEDICAIDNORTH CAROLINA
22327518MEDICARE PINNORTH CAROLINA

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: 4/28/2024

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