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Organization
PROSPERO HEALTH PARTNERS NORTH CAROLINA, PC
Active
Organization
PROSPERO HEALTH PARTNERS NORTH CAROLINA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MANN (CREDENTIALING BILIING MANAGER)
(901) 422-7608
Entity
Organization
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(866) 949-0108
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 422-7644
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
12/27/2021
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