Organization
CALVARY COMMUNITY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKYERE BONNA (ADMINISTRATOR)
(704) 526-9052
Entity
Organization
Contact information
Practice address
537 W SUGAR CREEK RD, SUITE 201, CHARLOTTE, NC 28213-6102
(704) 979-8210
(187) 749-2888
Mailing address
16725 WINSTON OAKS CT, CHARLOTTE, NC 28213-5206
(704) 534-1035
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5007063
NC
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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