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Organization

MOUNTAIN SUMMIT MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TREMIKA RENE WOODLEY NP (NP)
(980) 337-0353
Entity
Organization

Contact information

Practice address
10523 KEMPSFORD DR, CHARLOTTE, NC 28262-2720
(980) 337-0353
Mailing address
PO BOX 621858, CHARLOTTE, NC 28262-0128
(980) 337-0353

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5009223
NC

Other

Enumeration date
03/27/2017
Last updated
03/28/2017
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