Provider Demographics
NPI:1174280895
Name:UC BEST MEDICAL CENTER P C
Entity Type:Organization
Organization Name:UC BEST MEDICAL CENTER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EDOSOMWAN-EIGBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-779-4313
Mailing Address - Street 1:2019 CONNONADE DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-0109
Mailing Address - Country:US
Mailing Address - Phone:704-779-4313
Mailing Address - Fax:
Practice Address - Street 1:1505 SKYWAY DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-3007
Practice Address - Country:US
Practice Address - Phone:704-779-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty