Charlotte Primary Care, Pa

LBN: Charlotte Primary Care, Pa
Charlotte Primary Care, Pa is an health care organization with primary practice located at 1918 Randolph Rd Suite 440, Charlotte NC 28207-1100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Charlotte Primary Care, Pa can be contacted via phone (704) 342-8115, or through Tam, Kim via phone (704) 342-8115.

Contact Information

Primary practice address
1918 Randolph Rd Suite 440 Charlotte NC 28207-1100
Phone: (704) 342-8115
Fax: (704) 344-2691
Website:
Map and Directions
Authorized official contact:
Name: Tam, Kim Doctor of Medicine (MD)
Phone: (704) 342-8115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 102928 North Carolina

Profile Details

NPI number 1790762284
LBN Legal business name Charlotte Primary Care, Pa
DBA Doing business as
Authorized official Tam, Kim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Jan 6th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790762284 NPPES
North Carolina Other 011Y5 BCBSNC PROVIDER ID#

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