Provider Demographics
NPI:1528806700
Name:IMPACT GLOBAL SERVICES INC
Entity type:Organization
Organization Name:IMPACT GLOBAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARONN
Authorized Official - Middle Name:CAPRIESE
Authorized Official - Last Name:BARNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-492-5942
Mailing Address - Street 1:265 AUTUMN SAGE DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-0137
Mailing Address - Country:US
Mailing Address - Phone:704-492-5942
Mailing Address - Fax:
Practice Address - Street 1:265 AUTUMN SAGE DR
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-0137
Practice Address - Country:US
Practice Address - Phone:704-492-5942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty