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Faith Medical Center P.c.
Clinic/Center in Charlotte, North Carolina
NPI 1992947766

Faith Medical Center P.c. is a Clinic/Center based in Charlotte, NC. Faith Medical Center P.c. practices in Charlotte, NC. The NPI Number for Faith Medical Center P.c. is 1992947766 and holds a License No. (North Carolina).

The current practice location address for Faith Medical Center P.c. is 3626 Latrobe Dr, Charlotte, NC and can be reached out via phone at 704-366-7182 and via fax at 704-366-7184.

Location: 3626 Latrobe Dr, Charlotte, NC, 28211-1388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992947766
Provider Name
Faith Medical Center P.c.
Credential
Provider Entity Type
Organization
Address
3626 Latrobe Dr, Charlotte, NC, 28211-1388
Phone Number
704-366-7182
Fax Number
704-366-7184
Provider Enumeration Date
03/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5902366 05 NC
1406K 01 NC BLUECROSS BLUESHIELD OF NORTH CAROLINA
institution
Provider Business Practice Location Address Details
Address
3626 Latrobe Dr
City
Charlotte
State
North Carolina
Zip
28211-1388
Phone Number
704-366-7182
Fax Number
704-366-7184
person
Provider Business Mailing Address Details
Address
3626 Latrobe Dr
City
Charlotte
State
North Carolina
Zip
28211-1388
Phone Number
704-366-7182
Fax Number
704-366-7184
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
200401292 (North Carolina)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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