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EMERGENT LIFE INTEGRATIVE MEDICINE CENTER INC NPI 1053953125


NPI Information

NPI: 1053953125
Provider Name: EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5104 REAGAN DRIVE, SUITE 4
CHARLOTTE, NC
ZIP 28206
Phone: (919) 961-2204
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EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC NPI is 1053953125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5104 REAGAN DRIVE, SUITE 4
CHARLOTTE, NC
ZIP 28206-392
Phone: (919) 961-2204

The provider's authorized official is Barany Jeganatth .
The authorized official title is Founder, General Manager and has the following contact phone number (919) 961-2204.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 10/10/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2204R00000XElectrodiagnostic MedicineNo
3207R00000XInternal MedicineNo
4207Q00000XFamily MedicineYes

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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