Organization
FREEDOM MEDICAL CLINIC & URGENT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDOFUNSU BADIKA MD (OWNER)
(704) 394-3033
Entity
Organization
Contact information
Practice address
2905 FREEDOM DRIVE, CHARLOTTE, NC 28208-3857
(704) 394-3033
(704) 394-3395
Mailing address
2905 FREEDOM DRIVE, CHARLOTTE, NC 28208-3857
(704) 394-3033
(704) 394-3395
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2346988
MEDIARE PTAN
NC
05
—
5901934
—
NC
Enumeration date
03/28/2007
Last updated
07/14/2014
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