Organization
CHARLOTTE PRIMARY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM TAM MD (PRESIDENT)
(704) 342-8115
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 440, CHARLOTTE, NC 28207-1100
(704) 342-8115
(704) 344-2691
Mailing address
1918 RANDOLPH RD, SUITE 440, CHARLOTTE, NC 28207-1100
(704) 342-8115
(704) 344-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011Y5
BCBSNC PROVIDER ID#
NC
Enumeration date
12/27/2005
Last updated
01/06/2010
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