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1407675176
MEMA SC LLC
CHARLOTTE, NC
NPI
1407675176
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Entity Type
Organization
Authorized Contact
MICHAEL WAYNE ICENHOUR
Chief Operating Officer
704-319-5822
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
MEMA SC LLC
501 S SHARON AMITY RD STE 300
CHARLOTTE, NC 28211-0035
Phone number: 704-377-2424
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Mailing Address
MEMA SC LLC
501 S SHARON AMITY RD STE 300
CHARLOTTE, NC 28211-0035
Phone number: 704-377-2424
Copy
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