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Organization
BOMRAY MEDICAL CLINIC
Active
Organization
BOMRAY MEDICAL CLINIC
Active
Other names
PrimeCare Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRI OLSZEWSKI (BILLING REPRESENTATIVE)
(704) 335-0806
Entity
Organization
Contact information
Practice address
3627 BEATTIES FORD RD, CHARLOTTE, NC 28216-3249
(704) 335-0806
(704) 334-2073
Mailing address
3627 BEATTIES FORD RD, CHARLOTTE, NC 28216-3249
(704) 335-0806
(704) 334-2073
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
261QS1000X
Student Health Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
04/26/2006
Last updated
07/20/2010
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