Provider Demographics
NPI:1518764943
Name:MOBILE URGENT CARE OF THE CAROLINAS
Entity type:Organization
Organization Name:MOBILE URGENT CARE OF THE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:240-994-3639
Mailing Address - Street 1:9935 REA ROAD
Mailing Address - Street 2:STE D #217
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277
Mailing Address - Country:US
Mailing Address - Phone:240-994-3639
Mailing Address - Fax:
Practice Address - Street 1:11024 JORDAN RAE LANE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277
Practice Address - Country:US
Practice Address - Phone:240-994-3639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty