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Organization
THE PRESBYTERIAN HOSPITAL
Active
Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Diabetes Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY S VANCE (SR. VP OF FINANCE)
(704) 384-6299
Entity
Organization
Contact information
Practice address
1718 E 4TH ST, SUITE 207, CHARLOTTE, NC 28204-3260
(704) 384-7390
(704) 384-5669
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016JA
BCBS-NC
NC
Enumeration date
05/05/2006
Last updated
07/20/2011
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