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NPI Code Detail

MEDICARE: METROLINA AIDS PROJECT

MEDICARE: METROLINA AIDS PROJECT
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619029501
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROLINA AIDS PROJECT
Provider Business Mailing Address
First Line : PO BOX 32662
Second Line :
City : CHARLOTTE
State : NC
Zip : 28232-2662
Country : US
Telephone Number : 704-333-1435
Fax Number : 704-602-2440
Provider Business Practice Location Address
First Line : 127 SCALEYBARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-2608
Country : US
Telephone Number : 704-333-1435
Fax Number : 704-602-2440
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ANN WHITE
Credential :
Telephone Number : 704-333-1435
Provider Enumeration Date : 01/18/2007
Last Update Date : 08/22/2020

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