| Eventus Wh Southeast-eastern Nc Pllc | |
|
2810 Coliseum Centre Dr Ste 120 Charlotte NC 28217-3255 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Wh Southeast-eastern Nc Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2810 Coliseum Centre Dr Ste 120, Charlotte, North Carolina |
| Authorized Official Name and Position | George Hall (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Wh Southeast-eastern Nc Pllc 101 Cabarrus Ave E Ste 200 Concord NC 28025-3781 Ph: (855) 743-2247 | Eventus Wh Southeast-eastern Nc Pllc 2810 Coliseum Centre Dr Ste 120 Charlotte NC 28217-3255 Ph: (855) 743-2247 |
| NPI Number | 1356162382 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 01/15/2025 |
| Medicare PECOS PAC ID | 5193253318 |
|---|---|
| Medicare Enrollment ID | O20250115001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356162382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | George D Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518149277 PECOS PAC ID: 4486668282 Enrollment ID: I20060201000098 |
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