Organization
METROLINA AIDS PROJECT, INC.
Active
Parent organization
METROLINA AIDS PROJECT, INC.
Other names
Metrolina Care Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROLINA AIDS PROJECT, INC.
Authorized official
DR. JOSE R DIAZ M.D. (EXECUTIVE DIRECTOR)
(704) 333-1435
Entity
Organization
Contact information
Practice address
5801 EXECUTIVE CENTER DR, SUITE 114, CHARLOTTE, NC 28212-8861
(704) 936-4460
(704) 936-4470
Mailing address
PO BOX 32662, CHARLOTTE, NC 28232-2662
(704) 333-1435
(704) 602-2440
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335882
MEDICARE PTAN
—
Enumeration date
10/24/2008
Last updated
06/15/2009
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