Organization
CONVERGENT INTEGRATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR DOUGLAS PETRUK (PRESIDENT)
(704) 516-5922
Entity
Organization
Contact information
Practice address
8508 PARK RD # 135, CHARLOTTE, NC 28210-5803
(704) 516-5922
(704) 644-3828
Mailing address
8508 PARK RD # 135, CHARLOTTE, NC 28210-5803
(704) 516-5922
(704) 644-3828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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