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NPI Code Detail

MEDICARE: BOE HEALTHCARE CONSULTING

MEDICARE: BOE HEALTHCARE CONSULTING
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
1302R00000XHealth Maintenance OrganizationNC

General Provider Information

NPI Number : 1982071080
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOE HEALTHCARE CONSULTING
Provider Business Mailing Address
First Line : 6162 BALSAM FIR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-4502
Country : US
Telephone Number : 704-777-8877
Fax Number :
Provider Business Practice Location Address
First Line : 6162 BALSAM FIR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-4502
Country : US
Telephone Number : 704-777-8877
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EBONY MARION BOE
Credential :
Telephone Number : 704-777-8877
Provider Enumeration Date : 08/25/2015
Last Update Date : 08/25/2015

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Directions to “BOE HEALTHCARE CONSULTING ” Practice Location

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