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NPI Code Detail

MEDICARE: SHOW UP STAND UP DON'T GIVE UP

MEDICARE: SHOW UP STAND UP DON'T GIVE UP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251V00000XVoluntary or Charitable Agency
4253Z00000XIn Home Supportive Care Agency
5251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1003056391
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHOW UP STAND UP DON'T GIVE UP
Provider Business Mailing Address
First Line : 1030 KOHLER AVE
Second Line : AVE
City : CHARLOTTE
State : NC
Zip : 28206-2442
Country : US
Telephone Number : 704-376-1518
Fax Number :
Provider Business Practice Location Address
First Line : 1030 KOHLER AVE
Second Line : AVE
City : CHARLOTTE
State : NC
Zip : 28206-2442
Country : US
Telephone Number : 704-376-1518
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. MELISSA HILL
Credential :
Telephone Number : 704-713-5310
Provider Enumeration Date : 02/25/2009
Last Update Date : 02/25/2009

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1285629832 — DR. JOHN T CRAWFORD M.D.
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1093701666 — DR. MARSHALL POULNOT MCMILLAN M.D.
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1891861431 — MS. HEATHER L DOUGLAS LCSW
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Directions to “SHOW UP STAND UP DON'T GIVE UP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.