Provider Demographics
NPI:1174141683
Name:TELEPARTNERS FOR INTEGRATED HEALTH
Entity type:Organization
Organization Name:TELEPARTNERS FOR INTEGRATED HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:MITZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWTHORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-438-6999
Mailing Address - Street 1:9413 TILLOT DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-1567
Mailing Address - Country:US
Mailing Address - Phone:704-302-8216
Mailing Address - Fax:
Practice Address - Street 1:9413 TILLOT DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-1567
Practice Address - Country:US
Practice Address - Phone:704-302-8216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty