Organization
NORTHDAVIDSON A UNITED METHODIST CONGREGATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL SHANKA MORRIS SR. DOCTOR OF DIVINITY (LEAD PASTOR)
(704) 806-3803
Entity
Organization
Contact information
Practice address
1025 E 36TH ST, CHARLOTTE, NC 28205-1652
(704) 806-3803
Mailing address
3400 WINTERFIELD PL, CHARLOTTE, NC 28205-5940
(704) 806-3803
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2236552
CLIA
NC
Enumeration date
10/18/2021
Last updated
10/18/2021
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