Organization
THE PRESBYTERIAN HOSPITAL
Active
Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Novant Health Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY S. VANCE (SVP & COO OF PRESBYTERIAN HOSPITAL)
(704) 384-7283
Entity
Organization
Contact information
Practice address
125 BALDWIN AVE, SUITE 100, CHARLOTTE, NC 28204-3370
(704) 384-1900
(704) 384-1924
Mailing address
PO BOX 601529, CHARLOTTE, NC 28260-1529
(704) 316-1900
(704) 316-1924
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008226
—
NC
Enumeration date
02/19/2010
Last updated
07/03/2013
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