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Contact Information

AFFINITY CLINICAL SERVICES, PLLC
5500 EXECUTIVE CENTER DRIVE
SUITE 118
CHARLOTTE, NC28212
 Phone: 980-224-8060
 Fax: 704-379-1914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for AFFINITY CLINICAL SERVICES, PLLC

NPI # 1790219871
LBN Legal business name AFFINITY CLINICAL SERVICES, PLLC
Authorized official SAMUEL NDUPU - (CLINICAL DIRECTOR, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2017
Last updated 06/19/2023 - About 3 years ago
Identifiers
NC License # 4936
NC Medicaid 6103653
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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