MEDICARE: DIAMOND CHERRY

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	172A00000X	Driver

General Provider Information

NPI Number	:	1881581445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIAMOND CHERRY

Provider Business Mailing Address
First Line	:	1133 THANET ST SW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-7111
Country	:	US
Telephone Number	:	919-200-0731
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 THANET ST SW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-7111
Country	:	US
Telephone Number	:	919-200-0731
Fax Number	:

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

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

Similar Medicare Providers

1417744962 — JD LOGISTICS NATIONAL LLC
Practice Location Address:

1133 THANET ST SW
CONCORD, NC
28025-7111

Practice Phone: 919-200-0731
Practice Fax:

1942819289 — DR. BARBARA VAN OD
Practice Location Address:

7905 LYLES LN NW
CONCORD, NC
28027-7111

Practice Phone: 704-979-3900
Practice Fax:

1619584000 — BJ'S WHOLESALE CLUB INC.
Practice Location Address:

7905 LYLES LN NW
CONCORD, NC
28027-7111

Practice Phone: 704-979-3900
Practice Fax:

1851259725 — BIPANA BHANDARI BIPANA BHANDARI PMHNP
Practice Location Address:

920 CHURCH ST N
CONCORD, NC
28025-2927

Practice Phone: 704-403-3000
Practice Fax:

1437932803 — RACHEL NANCE PA-C
Practice Location Address:

280 EXECUTIVE PARK DR STE 100
CONCORD, NC
28025-1838

Practice Phone: 704-237-4240
Practice Fax:

1578126462 — LUKE CARROLL DAIGLE
Practice Location Address:

420 COPPERFIELD BLVD NE
CONCORD, NC
28025-2404

Practice Phone: 704-706-2200
Practice Fax: 980-334-2110

Directions to “ DIAMOND CHERRY ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.