Organization · NPI-2

1800md LLC

Family Medicine · Charlotte, NC

NPI number1770035479
StatusActive
Last updated in NPPESOct 28, 2016

Details

NPI
1770035479
Entity type
Organization (NPI-2)
Legal business name
1800md LLC
Organization subpart
No
Enumeration date
Oct 28, 2016
Last updated
Oct 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

6408 Bannington Rd
Charlotte, NC 28226-1358

Phone 704-247-9197

Mailing address

6408 Bannington Rd
Charlotte, NC 28226-1358

Phone 704-247-9197

Authorized official

Phillip Solomon
Director
7042479197

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