OrganizationActive
Affinity Clinical Services, PLLC
NPI 1790219871 · Supports Brokerage Agency · Charlotte, NC
Provider details
- NPI number
- 1790219871
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Authorized official
- Samuel Ndupu, Clinical Director, Owner
- License
- 4936 (NC)
Practice location
5500 Executive Center Drive
Suite 118
Charlotte, NC 28212
Phone: (980) 224-8060
Fax: (704) 379-1914
Mailing address
5500 Executive Center Drive
Charlotte, NC 28212
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2023-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.