MEDICARE: FAITHFUL & TRUE GLOBAL HEALTHCARE STAFFING, 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
1	293D00000X	Physiological Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1609529783	OTHER		NPI NUMBER

General Provider Information

NPI Number	:	1689327769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHFUL & TRUE GLOBAL HEALTHCARE STAFFING, PLLC

Provider Business Mailing Address
First Line	:	338 S. SHARON AMITY
Second Line	:	PMB 416
City	:	CHARLOTTE
State	:	NC
Zip	:	28211
Country	:	US
Telephone Number	:	704-858-5566
Fax Number	:

Provider Business Practice Location Address
First Line	:	10941 FOXHAVEN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6613
Country	:	US
Telephone Number	:	704-858-5566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ASHLEY LYNETTE HUGHES
Credential	:	RN
Telephone Number	:	704-858-5566

Provider Enumeration Date	:	01/30/2022
Last Update Date	:	01/30/2022

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