Renewed Axis Telehealth Pllc
NPI #1063301612 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1063301612
- Entity Type
- Organization
- Organization Name
- Renewed Axis Telehealth Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 2101 SARDIS RD N STE 120B
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28227-7711
- Phone
- (704) 840-2927
Authorized Official
- Name
- NINA FOMBUH, FNP-BC
- Title
- OWNER/PROVIDER
- Phone
- (047) 741-2909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Primary Care — Primary Care |
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