Healthcare Provider Details

I. General information

NPI: 1700277332
Provider Name (Legal Business Name): F AND F ENTERPRISES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 02/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6217 PATRIC ALAN CT
CHARLOTTE NC
28216-7644
US

IV. Provider business mailing address

6217 PATRIC ALAN CT
CHARLOTTE NC
28216-7644
US

V. Phone/Fax

Practice location:
  • Phone: 704-493-8621
  • Fax:
Mailing address:
  • Phone: 704-493-8621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number5714022
License Number StateNC

VIII. Authorized Official

Name: MISS EUGENIA F MARSHALL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MBA
Phone: 704-493-8621