| Superior Health Medical, Pllc | |
|
8322 Pineville Matthews Rd Ste 602 Charlotte NC 28226-4823 | |
| (704) 389-9040 | |
| (704) 396-8388 |
| Full Name | Superior Health Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8322 Pineville Matthews Rd Ste 602, Charlotte, North Carolina |
| Authorized Official Name and Position | Lisette Maria Akers (CEO/MANAGER) |
| Authorized Official Contact | 9803229742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Health Medical, Pllc 8022 Providence Rd Unit 500-165 Charlotte NC 28277-9719 Ph: (980) 322-9742 | Superior Health Medical, Pllc 8322 Pineville Matthews Rd Ste 602 Charlotte NC 28226-4823 Ph: (704) 389-9040 |
| NPI Number | 1407595085 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 2961885454 |
|---|---|
| Medicare Enrollment ID | O20220816002592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407595085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisette M Akers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972714988 PECOS PAC ID: 5890981542 Enrollment ID: I20101122000169 |
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