Providence Medical Clinic, Inc.
NPI #1336155951 in Concord, North Carolina
Provider Information
- NPI Number
- 1336155951
- Entity Type
- Organization
- Organization Name
- Providence Medical Clinic, Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Feb 1, 2010
Practice Location
- Address
- 271 NE EXECUTIVE PARK DRIVE
- City
- Concord
- State
- North Carolina
- ZIP Code
- 28025
- Phone
- (704) 721-4232
Authorized Official
- Name
- DR. ADEBOLA K. ADEKANMBI, M.D.
- Title
- PRESIDENT
- Phone
- (704) 721-4232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Internal Medicine |
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