MEDICARE: FAMETTA COLLINS-DARLING

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
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1639863277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAMETTA COLLINS-DARLING

Provider Business Mailing Address
First Line	:	3113 JAMES RD APT A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-2809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3113 JAMES RD APT A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-2809
Country	:	US
Telephone Number	:	704-255-5132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	02/15/2024

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Directions to “ FAMETTA COLLINS-DARLING ” Practice Location

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