FAITH MEDICAL CENTER P.C. NPI 1992947766

NPI Information

FAITH MEDICAL CENTER P.C. 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). FAITH MEDICAL CENTER P.C. NPI is 1992947766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3626 LATROBE DR
CHARLOTTE, NC
ZIP 28211-388
Phone: (704) 366-7182
Fax: (704) 366-7184

The provider's authorized official is Joel A Onafowokan .
The authorized official title is Medical Director and has the following contact phone number (704) 771-8400.

The CLIA number assigned to this NPI record is 34D1102693 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/25/2009 and was last updated on 8/3/2020.

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:

Other Identifiers

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

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