PRIMARY CARE OF NORTH CAROLINA INC NPI 1851907604

NPI Information

PRIMARY CARE OF NORTH CAROLINA INC is a clinic center in Charlotte, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRIMARY CARE OF NORTH CAROLINA INC NPI is 1851907604. The provider is registered as an organization entity type.

The provider's business location address is:

3500 STONEHAVEN DR
CHARLOTTE, NC
ZIP 28215-232
Phone: (727) 641-9107

The provider's authorized official is Chioma Blessing Ejiogu .
The authorized official title is Nurse Practitioner and has the following contact phone number (727) 641-9107.

The CLIA number assigned to this NPI record is 34D2198896 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 9/17/2020.

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:

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