| Southern Mobile Medical Group Pa | |
|
5804 Monroe Rd Ste C Charlotte NC 28212-6183 | |
| (385) 499-5535 | |
| Not Available |
| Full Name | Southern Mobile Medical Group Pa |
|---|---|
| Speciality | General Practice |
| Location | 5804 Monroe Rd Ste C, Charlotte, North Carolina |
| Authorized Official Name and Position | Mikhail Le Roux (CEO/FOUNDER) |
| Authorized Official Contact | 3854995535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Mobile Medical Group Pa 128 Columbus St Apt 303 Charleston SC 29403-4868 Ph: (385) 499-5535 | Southern Mobile Medical Group Pa 5804 Monroe Rd Ste C Charlotte NC 28212-6183 Ph: (385) 499-5535 |
| NPI Number | 1730903675 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 12/05/2024 |
| Medicare PECOS PAC ID | 8820528508 |
|---|---|
| Medicare Enrollment ID | O20250211000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730903675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Bhumika Nilay Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720661143 PECOS PAC ID: 5890187413 Enrollment ID: I20220111002318 |
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 |