NPI 1306479837 · live from the CMS NPI Registry
Advanced Regenerative Care Of Charlotte, PLLC
Physical Medicine & Rehabilitation in Matthews, NC. National Provider Identifier 1306479837, active.
NPI record
| NPI | 1306479837 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Medicine & Rehabilitation 208100000X |
| Practice location | 10734b Monroe Rd, Matthews, NC 28105 |
| Practice phone | 704-841-0240 |
| Mailing address | 504 Red Banks Rd Ste C, Greenville, NC 27858 |
| Enumerated | February 12, 2020 |
| Last updated | April 2, 2020 |
| Authorized official | Brian Kean, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Physical Medicine & Rehabilitation primary | 208100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.