| Eagle Medical Center | |
|
1951 Old Steele Creek Road Charlotte NC 28208-5631 | |
| (704) 926-5434 | |
| (704) 454-7388 |
| Full Name | Eagle Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1951 Old Steele Creek Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Gbenga Aluko (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7049756004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Medical Center Po Box 667889 Charlotte NC 28266-7889 Ph: (704) 926-5434 | Eagle Medical Center 1951 Old Steele Creek Road Charlotte NC 28208-5631 Ph: (704) 926-5434 |
| NPI Number | 1245563352 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 12/12/2009 |
| Medicare PECOS PAC ID | 0143360750 |
|---|---|
| Medicare Enrollment ID | O20091211000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245563352 | NPI | - | NPPES |
| 14096 | Other | NC | BLUECROSS BLUSHIELD |
| 5902507 | Medicaid | NC | |
| 278746 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2005-01333 (North Carolina) | Primary |
| Provider Name | Gbenga Aluko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437102753 PECOS PAC ID: 0840208013 Enrollment ID: I20060329000716 |
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