Organization
MECKLENBURG COUNTY
Active
Other names
Mecklenburg County Health Department - MCH Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
EARL WINTERS MABRY MD (HEALTH DIRECTOR)
(704) 336-2299
Entity
Organization
Contact information
Practice address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(704) 336-4776
(704) 336-5006
Mailing address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(704) 336-4776
(704) 336-5006
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005888
—
NC
Enumeration date
03/16/2007
Last updated
02/21/2008
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