Organization
FOCUS.MD-SC 1002, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES THOMAS HUMPHRIES MD (PRESIDENT)
(704) 804-1901
Entity
Organization
Contact information
Practice address
8045 PROVIDENCE RD, SUITE 325, CHARLOTTE, NC 28277-8745
(704) 804-1901
(833) 731-3760
Mailing address
10 ENTERPRISE BLVD, SUITE 202, GREENVILLE, SC 29615-6301
(864) 248-6393
(866) 731-3760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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