Organization
MINUTE MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JACKSON MD (CO-OWNER, MD)
(704) 997-9745
Entity
Organization
Contact information
Practice address
1218 EAST BLVD STE B, CHARLOTTE, NC 28203-6158
(704) 997-9745
(844) 646-8834
Mailing address
400 GILEAD RD UNIT 651, HUNTERSVILLE, NC 28078-6899
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629483672
—
NC
Enumeration date
09/23/2020
Last updated
10/29/2020
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