| 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-4d41776177d4342aee6d4bf3f286f5d19d6468deFor experts: raw data explorer
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| United States | NC Medicaid Division of Health Benefits | - | - |