Amity Medical Group, Inc.
NPI #1003301300 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003301300
- Entity Type
- Organization
- Organization Name
- Amity Medical Group, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 28, 2018
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 6010 E W T HARRIS BLVD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28215-4084
- Phone
- (704) 208-4134
Authorized Official
- Name
- DEQUEENA SMITH
- Title
- CREDENTIALING
- Phone
- (704) 493-5326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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