institution
Grover Clinic Pc
Health Service Clinic/Center in Charlotte, North Carolina
NPI 1104847383

Grover Clinic Pc is a Health Service Clinic/Center based in Charlotte, NC and is specialized in Health Service. Grover Clinic Pc practices in Charlotte, NC. The NPI Number for Grover Clinic Pc is 1104847383 and holds a License No. 200301465 (North Carolina).

The current practice location address for Grover Clinic Pc is 10320 Feld Farm Ln Ste 300, Charlotte, NC and can be reached out via phone at 704-541-0925 and via fax at 704-541-0924.

Location: 10320 Feld Farm Ln Ste 300, Charlotte, NC, 28210-8484
institution
Provider Profile Details
NPI Number
1104847383
Provider Name
Grover Clinic Pc
Credential
Provider Entity Type
Organization
Address
10320 Feld Farm Ln Ste 300, Charlotte, NC, 28210-8484
Phone Number
704-541-0925
Fax Number
704-541-0924
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136CT 01 NC BLUE CROSS BLUE SHIELD
89136CT 05 NC
institution
Provider Business Practice Location Address Details
Address
10320 Feld Farm Ln Ste 300
City
State
Zip
28210-8484
Phone Number
704-541-0925
Fax Number
704-541-0924
person
Provider Business Mailing Address Details
Address
10320 Feld Farm Ln Ste 300
City
State
Zip
28210-8484
Phone Number
704-541-0925
Fax Number
704-541-0924
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
200301465 (North Carolina)
Definition
Definition to come...
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