Inadvance Medicine Associates PA
Community Health Worker in Charlotte, NC. Organization (NPI-2).
NPI number1104789601
StatusActive
Last updated in NPPESDec 3, 2025
Details
- NPI
- 1104789601
- Entity type
- Organization (NPI-2)
- Legal business name
- Inadvance Medicine Associates PA
- Organization subpart
- No
- Enumeration date
- Dec 3, 2025
- Last updated
- Dec 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Other names
- Passport Health (Doing Business As)
Practice location
10801 Johnston RdSuite 127
Charlotte, NC 28226
Phone 877-358-8648 · Fax 877-877-6875
Mailing address
4343 East Outlier BlvdSuite 100w
Phoenix, AZ 85008-6507
Phone 877-358-8648 · Fax 877-877-6875
Authorized official
Juana Slack
Medical Billing Specialist
4806469086
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