Organization
CAROLINA PREMIER CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BARTSCH (PRESIDENT)
(404) 803-7130
Entity
Organization
Contact information
Practice address
3517 CROSS WINDS RD, CHARLOTTE, NC 28227-8638
(404) 803-7130
Mailing address
9723 WINGED TRAIL CT, CHARLOTTE, NC 28277-4695
(404) 803-7130
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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