| Presbyterian Regional Healthcare Corp. | |
|
10320 Mallard Creek Rd Suite 100 Charlotte NC 28262-9756 | |
| (704) 547-9500 | |
| (704) 547-9515 |
| Full Name | Presbyterian Regional Healthcare Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 10320 Mallard Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Patrick D. Easterling (SR. VP OF FINANCE) |
| Authorized Official Contact | 7043849094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presbyterian Regional Healthcare Corp. 1900 Randolph Rd Suite 500 Charlotte NC 28207-1106 Ph: (704) 384-9679 | Presbyterian Regional Healthcare Corp. 10320 Mallard Creek Rd Suite 100 Charlotte NC 28262-9756 Ph: (704) 547-9500 |
| NPI Number | 1972550994 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972550994 | NPI | - | NPPES |
| 5900657 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |