Organization
FIRST FOUNDATION CLINIC OF THE CAROLINAS CHARLOTTE, PC
Active
Organization
FIRST FOUNDATION CLINIC OF THE CAROLINAS CHARLOTTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONATUS O OGU MD (PRESIDENT)
(704) 866-4607
Entity
Organization
Contact information
Practice address
4938 CENTRAL AVE, CHARLOTTE, NC 28205-5871
(704) 567-0465
(704) 567-2940
Mailing address
PO BOX 471279, CHARLOTTE, NC 28247-1279
(704) 567-0465
(704) 567-2940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016H3
—
NC
Enumeration date
04/03/2006
Last updated
09/28/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up