Amity Medical Group, Inc.

LBN: Amity Medical Group, Inc.
Amity Medical Group, Inc. is an health care organization with primary practice located at 6010 E W T Harris Blvd , Charlotte NC 28215-4084. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Amity Medical Group, Inc. can be contacted via phone (704) 208-4134, or through Smith, Dequeena via phone (704) 493-5326.

Contact Information

Primary practice address
6010 E W T Harris Blvd Charlotte NC 28215-4084
Phone: (704) 208-4134
Fax: (704) 248-8068
Website:
Map and Directions
Authorized official contact:
Name: Smith, Dequeena
Phone: (704) 493-5326

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1003301300
LBN Legal business name Amity Medical Group, Inc.
DBA Doing business as
Authorized official Smith, Dequeena
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2018
Last updated Apr 30th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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