MEDICARE: PINNACLE PHYSICIANS NETWORK, PA

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		NC

General Provider Information

NPI Number	:	1902906308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE PHYSICIANS NETWORK, PA

Provider Business Mailing Address
First Line	:	3500 MOUNT HOLLY HUNTERSVILLE RD
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-8644
Country	:	US
Telephone Number	:	704-399-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 MOUNT HOLLY HUNTERSVILLE RD
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-8644
Country	:	US
Telephone Number	:	704-399-7800
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MRS. CODEY JEAN BROWN
Credential	:
Telephone Number	:	704-399-7800

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/21/2022

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