Providence Medical Clinic, Inc
Providence Medical Clinic, Inc is a Specialist in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
271 NE Executive Park DrConcord, NC 28025
Phone: (704) 721-4232
Fax: (704) 721-4240
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence NC9900744 (NC) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 9900744 (NC) |
Record details
| NPI number | 1336155951 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adebola Adekanmbi — President · (704) 721-4232 |
| Other names | Dba Cabarrus Mercy Clinic |
| NPI enumerated | August 1, 2006 |
| Last updated in NPPES | February 1, 2010 |
| Mailing address | 271 Ne Executive Park Drive, Concord, NC 28025 |
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