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Organization

CAREFIRST MEDICAL ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNIE LYLES M.D., M.B.A. (CMO)
(704) 496-9032
Entity
Organization

Contact information

Practice address
2908 OAK LAKE BLVD, SUITE 205, CHARLOTTE, NC 28208-7703
(704) 567-8233
Mailing address
2908 OAK LAKE BLVD, SUITE 205, CHARLOTTE, NC 28208-7703

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2009-00568
NC

Other

Enumeration date
08/09/2015
Last updated
08/09/2024
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