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F Keels Dickson Mdpa
Medical Specialty Clinic/Center in Charlotte, North Carolina
NPI 1205907573

F Keels Dickson Mdpa is a Medical Specialty Clinic/Center based in Charlotte, NC and is specialized in Medical Specialty. F Keels Dickson Mdpa practices in Charlotte, NC. The NPI Number for F Keels Dickson Mdpa is 1205907573 and holds a License No. 19158 (North Carolina).

The current practice location address for F Keels Dickson Mdpa is 3116 Clarendon Rd, Charlotte, NC and can be reached out via phone at 704-366-0249 and via fax at 704-362-2329.

Location: 3116 Clarendon Rd, Charlotte, NC, 28211-3231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205907573
Provider Name
F Keels Dickson Mdpa
Credential
Provider Entity Type
Organization
Address
3116 Clarendon Rd, Charlotte, NC, 28211-3231
Phone Number
704-366-0249
Fax Number
704-362-2329
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3116 Clarendon Rd
City
Charlotte
State
North Carolina
Zip
28211-3231
Phone Number
704-366-0249
Fax Number
704-362-2329
person
Provider Business Mailing Address Details
Address
3116 Clarendon Rd
City
Charlotte
State
North Carolina
Zip
28211-3231
Phone Number
704-366-0249
Fax Number
704-362-2329
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
19158 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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