| NPI Details | |
|---|---|
| NPI | 1124341276 |
| Enumeration Date | 03/03/2010 |
| Last Updated | 03/03/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 8 years ago |
| Authorized Information | |
|---|---|
| Name | NICOLE E NICOLE |
| Position | DIRECTOR OF PRACTICE |
| Phone | (704) 248-1146 |
| Fax | (877) 268-5344 |
| Practice Location | |
|---|---|
| 8511 DAVIS LAKE PKWY SUITE #C6-218 CHARLOTTE NC, 28269-0536, US |
|
| Phone | (704) 248-1146 |
| Fax | (877) 268-5344 |
| Business Location | |
|---|---|
| 8511 DAVIS LAKE PKWY SUITE #C6-218 CHARLOTTE NC, 28269-0536, US |
|
| Phone | (704) 248-1146 |
| Fax | (877) 268-5344 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225XP0200X |
| License State | North Carolina |
| License Number | 5804 |
| Remove 1124341276 NPI Number | |
According to our database, Integration Station NPI is 1124341276, taxonomy code is 225XP0200X and license number is 5804, license state is located at North Carolina. Integration Station physically located at 8511 Davis Lake Pkwy, Charlotte NC, 28269-0536. NPI Number 1033115704 has the healthcare provider type.
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1124341276 NPI number is provided on an as is basis without warranty of any kind. 1124341276 is maintained by the National Plan & Provider Enumeration System. The contents of Integration Station are for informational purposes only.
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