Healthcare Provider Details
I. General information
NPI: 1780777466
Provider Name (Legal Business Name): HEALTH XPRESSIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 TYVOLA RD SUITE 215
CHARLOTTE NC
28217-3515
US
IV. Provider business mailing address
1101 TYVOLA RD SUITE 215
CHARLOTTE NC
28217-3515
US
V. Phone/Fax
- Phone: 704-529-4437
- Fax: 704-529-4402
- Phone: 704-529-4437
- Fax: 704-529-4402
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246QM0706X |
| Taxonomy | Medical Technologist |
| License Number | 48897 |
| License Number State | NC |
VIII. Authorized Official
Name: MRS.
ANN
FOLSOM
SUGGS
Title or Position: CO-OWNER
Credential: CMA
Phone: 704-529-4437