MEDICARE: CHARLOTTE WOMENS PAVILION

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	207V00000X	Obstetrics & Gynecology Physician	22208	NC

General Provider Information

NPI Number	:	1215107834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLOTTE WOMENS PAVILION

Provider Business Mailing Address
First Line	:	PO BOX 24848
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27114-4848
Country	:	US
Telephone Number	:	336-714-2500
Fax Number	:	336-714-2556

Provider Business Practice Location Address
First Line	:	1928 RANDOLPH RD
Second Line	:	SUITE 206
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-1105
Country	:	US
Telephone Number	:	704-332-3308
Fax Number	:	704-332-3358

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES CHIKE ANIKWUE
Credential	:	M.D.
Telephone Number	:	704-332-3308

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	03/11/2008

Similar Medicare Providers

1124061924 — DR. CHARLES CHIKE ANIKWUE MD
Practice Location Address:

1928 RANDOLPH RD , STE. 206
CHARLOTTE, NC
28207-1105

Practice Phone: 704-332-3308
Practice Fax: 704-332-3358

1982795886 — ROBERT KEVIN STACK M.D.
Practice Location Address:

1928 RANDOLPH RD STE 308
CHARLOTTE, NC
28207-1105

Practice Phone: 704-333-1363
Practice Fax: 704-333-6617

1710070974 — CHARLOTTE AUDIOLOGY SERVICES
Practice Location Address:

1928 RANDOLPH RD STE 100
CHARLOTTE, NC
28207-1105

Practice Phone: 704-377-0375
Practice Fax: 704-342-4737

1356524037 — COMPREHENSIVE FOOT AND ANKLE CENTER,PA
Practice Location Address:

1928 RANDOLPH RD , SUITE 214
CHARLOTTE, NC
28207-1105

Practice Phone: 704-562-6384
Practice Fax:

1215102546 — PREMIER SLEEP SERVICES, LLC
Practice Location Address:

1928 RANDOLPH RD , SUITE 111
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1497995450 — EMMETT C. MATHEWS, JR, MD PA
Practice Location Address:

1928 RANDOLPH RD , SUITE 215
CHARLOTTE, NC
28207-1105

Practice Phone: 704-332-3632
Practice Fax: 704-332-3891

Directions to “CHARLOTTE WOMENS PAVILION ” Practice Location

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