# MOUNTAIN SUMMIT MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326579640
- **Authorized official:** TREMIKA RENE WOODLEY NP (NP)
- **Authorized official phone:** (980) 337-0353

## Contact information

- **Practice address:** 10523 KEMPSFORD DR, CHARLOTTE, NC 28262-2720
- **Practice address phone:** (980) 337-0353
- **Mailing address:** PO BOX 621858, CHARLOTTE, NC 28262-0128
- **Mailing address phone:** (980) 337-0353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 5009223 | NC | Yes |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 03/28/2017