Optional Pain Care Plus, PLLC
Nurse Practitioner, Family in Charlotte, NC. Organization (NPI-2).
NPI number1669062014
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1669062014
- Entity type
- Organization (NPI-2)
- Legal business name
- Optional Pain Care Plus, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
7628 Eurostar DrCharlotte, NC 28213-5382
Phone 754-423-9550
Mailing address
7628 Eurostar DrCharlotte, NC 28213-5382
Phone 754-423-9550
Authorized official
Roy Williams
Owner
7544239550
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