Organization
CHARLOTTE PROACTIVE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIET DAVIS (PRESIDENT)
(704) 510-4988
Entity
Organization
Contact information
Practice address
11220 GOLF LINKS DRIVE NORTH, CHARLOTTE, NC 28277
(704) 510-4988
Mailing address
11220 GOLF LINKS DRIVE NORTH, CHARLOTTE, NC 28277
(704) 510-4988
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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