Provider Demographics
NPI:1144887324
Name:BETTERMED OF NORTH CAROLINA PLLC
Entity type:Organization
Organization Name:BETTERMED OF NORTH CAROLINA PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:JEANNETTE
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-377-1111
Mailing Address - Street 1:3200 ROCKBRIDGE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4333
Mailing Address - Country:US
Mailing Address - Phone:804-377-9111
Mailing Address - Fax:804-762-0011
Practice Address - Street 1:1431 SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4211
Practice Address - Country:US
Practice Address - Phone:704-709-1171
Practice Address - Fax:704-709-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care