Organization
NORTH MECKLENBURG FAMILY PRACTICE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME HOWARD MD (MD PRESIDENT)
(704) 596-5067
Entity
Organization
Contact information
Practice address
6111 RUMPLE RD, CHARLOTTE, NC 28262
(704) 596-5067
(704) 599-9458
Mailing address
6111 RUMPLE RD, CHARLOTTE, NC 28262
(704) 596-5067
(704) 599-9458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NC18523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44170
BCBS
NC
Enumeration date
09/26/2006
Last updated
07/09/2010
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