Healthcare Provider Details

I. General information

NPI: 1285904433
Provider Name (Legal Business Name): AXCESS GLOBAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 S RIDGE AVE
CONCORD NC
28025-2852
US

IV. Provider business mailing address

2604 S RIDGE AVE
CONCORD NC
28025-2852
US

V. Phone/Fax

Practice location:
  • Phone: 704-723-6889
  • Fax: 800-889-8442
Mailing address:
  • Phone: 704-723-6889
  • Fax: 800-889-8442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: AUGUSTINE KOTEE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 704-723-6889