ST MARY'S MEDICAL CLINICPC. NPI 1588859953

NPI Information

NPI: 1588859953
Provider Name: ST MARY'S MEDICAL CLINIC,PC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
701 E ROOSEVELT BLVD
BLDG 800A
MONROE, NC
ZIP 28112
Phone: (704) 225-0211
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ST MARY'S MEDICAL CLINIC,PC. is a primary care clinic center in Monroe, NC. ST MARY'S MEDICAL CLINIC,PC. NPI is 1588859953. The provider is registered as an organization entity type.

The provider's business location address is:

701 E ROOSEVELT BLVD
BLDG 800A
MONROE, NC
ZIP 28112
Phone: (704) 225-0211
Fax: (704) 225-0221

The provider's authorized official is Awawu E Igbinadolor .
The authorized official title is President and has the following contact phone number (704) 219-2147.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	200001486832	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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