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Organization

WHEAT FIELD MINISTRY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA HOWARD GRIPPER MDIV (OWNER OPERATOR)
(704) 724-2721
Entity
Organization

Contact information

Practice address
9700 RESEARCH DR, STE 105, CHARLOTTE, NC 28262-8552
(704) 412-1912
(704) 597-7508
Mailing address
9827 FERNSPRAY RD, CHARLOTTE, NC 28215-7760
(704) 724-2721
(704) 597-7508

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700589
NC
Enumeration date
02/27/2012
Last updated
12/01/2014
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