Deark Medical Center Pllc

LBN: Deark Medical Center Pllc
Deark Medical Center Pllc is an health care organization with primary practice located at 3719 Latrobe Dr Ste 840 , Charlotte NC 28211-5121. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Migrant Health, Ambulatory Health Care Facilities / Primary Care, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Deark Medical Center Pllc can be contacted via phone (913) 302-1470, or through Iyamu, Efemwonkiekie William via phone (913) 302-1470.

Contact Information

Primary practice address
3719 Latrobe Dr Ste 840 Charlotte NC 28211-5121
Phone: (913) 302-1470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iyamu, Efemwonkiekie William Doctor of Medicine (MD)
Phone: (913) 302-1470

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2016-01529 North Carolina
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Migrant Health 261QM1000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1376046003
LBN Legal business name Deark Medical Center Pllc
DBA Doing business as
Authorized official Iyamu, Efemwonkiekie William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2018
Last updated Feb 6th, 2019 - about 5 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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