Organization
COLLEGIATE GLOBAL NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L DAVIS (CEO)
(704) 241-1135
Entity
Organization
Contact information
Practice address
816 DRUMMOND AVE, CHARLOTTE, NC 28205
(704) 241-1135
Mailing address
PO BOX 791154, CHARLOTTE, NC 28206-7918
(704) 241-1135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251B00000X
Case Management Agency
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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