Organization
FIRST CARE MEDICAL CLINIC
Active
Organization
FIRST CARE MEDICAL CLINIC
Active
Other names
FIRST CARE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
VENNY O OKWARA MD (ADMINISTRATOR)
(704) 291-9267
Entity
Organization
Contact information
Practice address
2938 THE PLZ, CHARLOTTE, NC 28205-2463
(704) 378-4122
Mailing address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2326436
MEDIACARE GROUP #
NC
05
—
89013J4
—
NC
Enumeration date
03/21/2007
Last updated
06/03/2011
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