Organization
CUPID FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA JO-ANN CUPID MD (CEO)
(704) 971-4445
Entity
Organization
Contact information
Practice address
2325 W. ARBORS DR., SUITE 102, CHARLOTTE, NC 28262-2559
(704) 971-4445
(704) 971-4450
Mailing address
2325 W. ARBORS DR., SUITE 102, CHARLOTTE, NC 28262-2559
(704) 971-4445
(704) 971-4450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200301427
NC
207Q00000X
Family Medicine Physician
Primary
200301427
NC
207Q00000X
Family Medicine Physician
21652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216527
—
SC
Enumeration date
09/04/2007
Last updated
02/05/2015
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