Organization · Type 2 NPI
Eagle Rising Health Services, PLLC
Primary Care Clinic/Center · Charlotte, NC
NPI number
1013304211
Active
Practice location
8815 University East Dr Ste 215
Charlotte, NC 28213-4100
Mailing address
1008 Charles Ave
Charlotte, NC 28205-1535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 101599 (NC) |
| Primary Care Clinic/Center Primary | 261QP2300X | 101599 (NC) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1013304211
Eagle Rising Health Services, PLLC's National Provider Identifier is 1013304211, issued on Apr 25, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Charlotte, NC. The record was last updated on Apr 25, 2015.