VERITAS COLLABORATIVE CHARLOTTE LLC NPI 1891330056

NPI Information

NPI: 1891330056
Provider Name: VERITAS COLLABORATIVE CHARLOTTE, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 34D2168107

Address:
1900 SCOTT AVE STE 101
CHARLOTTE, NC
ZIP 28203
Phone: (704) 680-3140
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VERITAS COLLABORATIVE CHARLOTTE, LLC is a multi-specialty clinic center in Charlotte, NC. VERITAS COLLABORATIVE CHARLOTTE, LLC NPI is 1891330056. The provider is registered as an organization entity type.

The provider's business location address is:

1900 SCOTT AVE STE 101
CHARLOTTE, NC
ZIP 28203-046
Phone: (704) 680-3140
Fax: (980) 221-0446

The provider's authorized official is Nikki Hudson .
The authorized official title is Sr Director and has the following contact phone number (919) 801-4022.

The CLIA number assigned to this NPI record is 34D2168107 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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