Organization
CHARTER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BRYANT (ADMINISTRATOR)
(803) 554-1317
Entity
Organization
Contact information
Practice address
2550 COURT DR STE 201, GASTONIA, NC 28054-2152
(803) 554-1317
Mailing address
2230 E FRANKLIN BLVD STE 100-227, GASTONIA, NC 28054-4982
(803) 554-1317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912930009
—
NC
Enumeration date
09/12/2022
Last updated
09/12/2022
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