Bomray Medical Clinic

NPI #1013974864 in Charlotte, North Carolina

Provider Information

NPI Number: 1013974864
Entity Type: Organization
Organization Name: Bomray Medical Clinic
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Apr 26, 2006
Last Updated: Jul 20, 2010

Practice Location

Address: 3627 BEATTIES FORD RD
City: Charlotte
State: North Carolina
ZIP Code: 28216-3249
Phone: (704) 335-0806

Authorized Official

Name: MRS. JERRI OLSZEWSKI
Title: BILLING REPRESENTATIVE
Phone: (704) 335-0806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Student Health — Student Health	261QS1000X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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