Organization
BETHANY CHRISTIAN SERVICES OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STOUTMEYER (BILLER)
(616) 224-7429
Entity
Organization
Contact information
Practice address
4944 PARKWAY PLAZA BLVD STE 190, CHARLOTTE, NC 28217-1991
(704) 541-1833
(704) 919-5367
Mailing address
4944 PARKWAY PLAZA BLVD STE 190, CHARLOTTE, NC 28217-1991
(704) 541-1833
(704) 919-5367
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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