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Organization

SUPERIOR HEALTHCARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON CHRISTOPHER JONES (CEO)
(704) 563-6262
Entity
Organization

Contact information

Practice address
6636 E WT HARRIS BLVD, SUITE D - E, CHARLOTTE, NC 28215-5133
(704) 563-6262
(704) 563-6210
Mailing address
PO BOX 690547, CHARLOTTE, NC 28227-7010
(704) 563-6262
(704) 563-6210

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5915226
NC
Enumeration date
03/17/2011
Last updated
03/17/2011
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