NPI 1003301300

Amity Medical Group, INC.

Organisation Federally Qualified Health Center (FQHC) Charlotte, NC

Practice location

Address: 6010 E W T Harris Blvd, Charlotte, NC 28215-4084
Phone: (704) 208-4134
Fax: (704) 248-8068

Authorised official

Name: Dequeena Smith
Title: Credentialing
Phone: (704) 493-5326

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in North Carolina →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in North Carolina →

Registry record

NPI: 1003301300
Entity type: Organization
NPI issued: 28 Jun 2018
Record last updated: 31 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.