Emergent Life Integrative Medicine Center, INC
NPI #1053953125 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1053953125
- Entity Type
- Organization
- Organization Name
- Emergent Life Integrative Medicine Center, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 10, 2019
- Last Updated
- Oct 10, 2019
Practice Location
- Address
- 5104 REAGAN DRIVE, SUITE 4
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28206-1392
- Phone
- (919) 961-2204
Authorized Official
- Name
- BARANY JEGANATTH
- Title
- FOUNDER, GENERAL MANAGER
- Phone
- (919) 961-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Electrodiagnostic Medicine |
| Internal Medicine |
| Family Medicine |
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