Organization
EAGLE THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M EWING (OWNER/MEMBER)
(980) 643-1148
Entity
Organization
Contact information
Practice address
8815 UNIVERSITY EAST DR, CHARLOTTE, NC 28213-4100
(980) 643-1148
(704) 582-6015
Mailing address
677 NANNYBERRY LN, CONCORD, NC 28025-9003
(336) 772-5711
(704) 582-6015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/22/2023
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