OrganizationActive
Bomray Medical Clinic
NPI 1013974864 · Primary Care Clinic/Center · Charlotte, NC
Provider details
- NPI number
- 1013974864
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jerri Olszewski, Billing Representative
Practice location
3627 Beatties Ford Rd
Charlotte, NC 28216-3249
Phone: (704) 335-0806
Fax: (704) 334-2073
Mailing address
3627 Beatties Ford Rd
Charlotte, NC 28216-3249
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2010-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.