Organization
UNITED PRIMARY DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENASHA L JAMES (MEDICAL ADMINISTRATOR)
(980) 237-4768
Entity
Organization
Contact information
Practice address
2103 N GRAHAM ST STE B, CHARLOTTE, NC 28206-2548
(336) 370-9232
(336) 274-7200
Mailing address
2103 N GRAHAM ST STE B, CHARLOTTE, NC 28206-2548
(336) 370-9232
(336) 274-7200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/10/2019
Last updated
12/17/2020
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