Organization
A PLUS COMMUNITY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY T DAVIS MAED (PARTNER/QP)
(704) 644-7103
Entity
Organization
Contact information
Practice address
15720 JOHN J DELANEY DR, CHARLOTTE, NC 28277-3430
(704) 644-7103
Mailing address
PO BOX 241881, CHARLOTTE, NC 28224-1881
(704) 644-7103
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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