Provider Demographics
NPI:1679746366
Name:PRACTICE MANAGEMENT RESOURCES, INC.
Entity Type:Organization
Organization Name:PRACTICE MANAGEMENT RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SOUTHEAST REGION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-395-9405
Mailing Address - Street 1:5810 MOUNTAIN POINT LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216
Mailing Address - Country:US
Mailing Address - Phone:704-395-9405
Mailing Address - Fax:704-395-9406
Practice Address - Street 1:5810 MOUNTAIN POINT LN
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-7754
Practice Address - Country:US
Practice Address - Phone:704-395-9405
Practice Address - Fax:704-395-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health