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NPI Code Detail

MEDICARE: T & T HEALTHCARE, PLLC

MEDICARE: T & T HEALTHCARE, PLLC
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2251J00000XNursing Care Agency
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629724083
Entity Type Code : Organization
Provider Name (Legal Business Name) : T & T HEALTHCARE, PLLC
Provider Business Mailing Address
First Line : 3729 SHAMROCK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-3217
Country : US
Telephone Number : 980-271-7561
Fax Number :
Provider Business Practice Location Address
First Line : 3729 SHAMROCK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-3217
Country : US
Telephone Number : 980-271-7561
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : TRIPHENA CHANEL SMALLS
Credential : RN
Telephone Number : 980-271-7561
Provider Enumeration Date : 02/24/2022
Last Update Date : 01/15/2026

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Directions to “T & T HEALTHCARE, PLLC ” Practice Location

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