Organization
HOLY ANGELS INC
Active
Other names
Holy Angels Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CHILDRESS MBA (CHIEF CLINICAL OFFICER)
(704) 829-4410
Entity
Organization
Contact information
Practice address
6600 W WILKINSON BLVD, BELMONT, NC 28012-2796
(704) 825-4161
(704) 825-0401
Mailing address
6600 W WILKINSON BLVD, PO BOX 710, BELMONT, NC 28012-2796
(704) 825-4161
(704) 825-0401
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
202981
NC
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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