Organization
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Other names
Levine Cancer Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Authorized official
PETER ACKER (ADMINISTRATOR)
(980) 212-1000
Entity
Organization
Contact information
Practice address
16455 STATESVILLE RD, SUITE 200, HUNTERSVILLE, NC 28078-7135
(704) 302-8600
(704) 302-8650
Mailing address
PO BOX 602653, CHARLOTTE, NC 28260-2653
(704) 302-8600
(704) 302-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919626
—
NC
05
—
NPB473
—
SC
Enumeration date
03/30/2012
Last updated
09/14/2012
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