Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | CENTRAL CAROLINA MEDICAL CLINIC | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1407271109 · 1912008327 | [sources] | |||
Status | not available | [sources] | |||
Address | CHARLOTTE, NC 28212 · CHARLOTTE, NC 28214 | [sources] | |||
Last change | Last processed | First seen |
Service providers who have been terminated for cause from North Carolina's Medicaid and other Health Programs.
United States · NC Medicaid Division of Health Benefits
us-mednc-6a21f6c7a56cc3dcbdc6917a7217dfabca9940ea
· us-mednc-4d41776177d4342aee6d4bf3f286f5d19d6468de
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