Provider Demographics
NPI:1265672810
Name:HUNTER HOPKINS CENTER, P.A.
Entity Type:Organization
Organization Name:HUNTER HOPKINS CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:LAPP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-543-9692
Mailing Address - Street 1:10344 PARK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8505
Mailing Address - Country:US
Mailing Address - Phone:704-543-9692
Mailing Address - Fax:704-543-8547
Practice Address - Street 1:10344 PARK RD STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8505
Practice Address - Country:US
Practice Address - Phone:704-543-9692
Practice Address - Fax:704-543-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20030174400000X
NC9701305174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty