Organization
CHARLOTTE-MECKLENBURG HEALTH SERVICES FOUNDATION
Active
Other names
Department of Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIE UNDERWOOD (ADMINISTRATOR)
(704) 355-3147
Entity
Organization
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-2000
(704) 355-5073
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 512-6438
(704) 512-6485
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901752
—
NC
Enumeration date
07/20/2006
Last updated
04/19/2011
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