Organization
CHARLOTTE'S PREMIERE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL ANNE RUPE M.D. (DOCTOR)
(704) 510-4366
Entity
Organization
Contact information
Practice address
3230 PROSPERITY CHURCH RD, SUITE 101, CHARLOTTE, NC 28269-8251
(704) 510-4366
(704) 510-4347
Mailing address
3230 PROSPERITY CHURCH RD, SUITE 101, CHARLOTTE, NC 28269-8251
(704) 510-4366
(704) 510-4347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013UN
BLUE CROSS BLE SHIELD ID
NC
05
—
89013UN
—
NC
Enumeration date
11/30/2006
Last updated
10/22/2007
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