NPI 1073205837
Mysupport
Practice location
- Address
- 1100 Elliott Rd, Charlotte, NC 28216-1317
- Phone
- (252) 339-0864
- Mailing address
- 4509 Fair Springs Rd, Charlotte, NC 28227-5941
Authorised official
- Name
- Patrick Brian Irvine
- Title
- Ceo
- Phone
- (252) 339-0864
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1073205837
- Entity type
- Organization
- NPI issued
- 22 May 2023
- Record last updated
- 22 May 2023
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.