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Charlotte Restoration
Medical Specialty Clinic/Center in Charlotte, North Carolina
NPI 1285099804

Charlotte Restoration is a Medical Specialty Clinic/Center based in Charlotte, NC and is specialized in Medical Specialty. Charlotte Restoration practices in Charlotte, NC. The NPI Number for Charlotte Restoration is 1285099804 and holds a License No. 200400163 (North Carolina).

The current practice location address for Charlotte Restoration is 5970 Fairview Rd, Charlotte, NC and can be reached out via phone at 704-617-2649. You can also correspond with Charlotte Restoration through the mailing address at 5970 FAIRVIEW RD, CHARLOTTE, NC - 28210-3167 (mailing address contact number: 704-617-2649).

Location: 5970 Fairview Rd, Charlotte, NC, 28210-3167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285099804
Provider Name
Charlotte Restoration
Credential
Provider Entity Type
Organization
Address
5970 Fairview Rd, Charlotte, NC, 28210-3167
Phone Number
704-617-2649
Fax Number
Provider Enumeration Date
12/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5970 Fairview Rd
City
Charlotte
State
North Carolina
Zip
28210-3167
Phone Number
704-617-2649
Fax Number
person
Provider Business Mailing Address Details
Address
5970 Fairview Rd
City
Charlotte
State
North Carolina
Zip
28210-3167
Phone Number
704-617-2649
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
200400163 (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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