Healthcare Provider Details

I. General information

NPI: 1528138781
Provider Name (Legal Business Name): ALBRIGHT INTERNAL MEDICINE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8810 BLAKENEY PROFESSIONAL DR SUITE 100
CHARLOTTE NC
28277-6595
US

IV. Provider business mailing address

8810 BLAKENEY PROFESSIONAL DR SUITE 100
CHARLOTTE NC
28277-6595
US

V. Phone/Fax

Practice location:
  • Phone: 704-759-8188
  • Fax: 704-759-0857
Mailing address:
  • Phone: 704-759-8188
  • Fax: 704-759-0857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number9400697
License Number StateNC

VIII. Authorized Official

Name: MRS. PAMELA F ALBRIGHT
Title or Position: PRACTICE MANAGEAR
Credential:
Phone: 704-759-8188