All Care Associated Provider INC

NPI #1780768960 in Charlotte, North Carolina

Provider Information

NPI Number: 1780768960
Entity Type: Organization
Organization Name: All Care Associated Provider INC
Primary Specialty: Contractor
Enumeration Date: Oct 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 700 S TORRENCE ST
Address 2: SUITE 101
City: Charlotte
State: North Carolina
ZIP Code: 28204-2928
Phone: (704) 372-9393

Authorized Official

Name: DR. CLARENCE O ELLIS, M.D.
Title: PRESIDENT
Phone: (704) 372-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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