Organization
PULMONARY CLINIC OF THE CAROLINA'S PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMEKA M EZIRI MD (MEDICAL DIRECTOR)
(704) 867-8742
Entity
Organization
Contact information
Practice address
440 E LONG AVE, GASTONIA, NC 28054-2527
(704) 867-8742
(704) 867-8891
Mailing address
440 E LONG AVE, GASTONIA, NC 28054-2527
(704) 867-8742
(704) 867-8891
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
200101198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2292171
MEDICARE
NC
Enumeration date
11/14/2008
Last updated
09/11/2023
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