New Millennium Therapy

NPI 1053641670 - Clinic/Center - 261QR0400X

NPI Details
NPI 1053641670
Enumeration Date 01/04/2010
Last Updated 01/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TIMOTHY LAVAR TIMOTHY
Position PRESIDENT
Phone (704) 906-3585
Fax
Practice Location
8213 ESCAFLOWNE AVE
CHARLOTTE NC, 28216-2265, US
Phone (704) 906-3585
Fax
Business Location
8213 ESCAFLOWNE AVE
CHARLOTTE NC, 28216-2265, US
Phone (704) 906-3585
Fax
Toxanomy
Taxonomy Code 261QR0400X
License State North Carolina
License Number 5090
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According to our database, New Millennium Therapy NPI is 1053641670, taxonomy code is 261QR0400X and license number is 5090, license state is located at North Carolina. New Millennium Therapy physically located at 8213 Escaflowne Ave, Charlotte NC, 28216-2265. NPI Number 1033115704 has the healthcare provider type.

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1053641670 NPI number is provided on an as is basis without warranty of any kind. 1053641670 is maintained by the National Plan & Provider Enumeration System. The contents of New Millennium Therapy are for informational purposes only.