| NPI | 1790022051 |
|---|---|
| Doing Business As | FASTMED URGENT CARE OF CHARLOTTE - MALLARD CREEK |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Ops 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 0010-04743) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2015-07-09 |