| Mid-charlotte Dermatology And Research Pllc | |
|
6406 Carmel Rd Ste 309 Charlotte NC 28226-8267 | |
| (704) 367-9777 | |
| (704) 367-0504 |
| Full Name | Mid-charlotte Dermatology And Research Pllc |
|---|---|
| Speciality | Dermatology |
| Location | 6406 Carmel Rd Ste 309, Charlotte, North Carolina |
| Authorized Official Name and Position | Irene Elizabeth Edwards (OWNER) |
| Authorized Official Contact | 7043679777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-charlotte Dermatology And Research Pllc 6406 Carmel Rd Ste 309 Charlotte NC 28226-8267 Ph: (704) 367-9777 | Mid-charlotte Dermatology And Research Pllc 6406 Carmel Rd Ste 309 Charlotte NC 28226-8267 Ph: (704) 367-9777 |
| NPI Number | 1497940944 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 1456527662 |
|---|---|
| Medicare Enrollment ID | O20120109000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497940944 | NPI | - | NPPES |
| 5922883 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23521 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 23521 (North Carolina) | Secondary |
| 207N00000X | Dermatology | 23521 (North Carolina) | Primary |
| Provider Name | Irene Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992857346 PECOS PAC ID: 3274709480 Enrollment ID: I20120109000985 |
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 |