MEDICARE: AMERICAN CURRENT CARE OF NORTH CAROLINA PC

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1417444357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE OF NORTH CAROLINA PC

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR STE 1200W
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4624
Country	:	US
Telephone Number	:	972-364-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	10616 METROMONT PKWY STE 102
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-7657
Country	:	US
Telephone Number	:	704-597-7228
Fax Number	:	704-597-9190

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN ANDERSON
Credential	:	DO
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	04/17/2018

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