| |
420 N Center St Suite 2023806660 Hickory NC 28601-5033 | |
(202) 380-6660 | |
(888) 410-2575 |
Full Name | |
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Speciality | General Acute Care Hospital - Critical Access |
Location | 420 N Center St, Hickory, North Carolina |
Authorized Official Name and Position | Leverne C Carlton (NURSE PRACTITIONER DOCTORATE) |
Authorized Official Contact | 2023806660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1732 3rd Ave Nw Suite D Hickory NC 28601-4776 Ph: (828) 322-2305 | 420 N Center St Suite 2023806660 Hickory NC 28601-5033 Ph: (202) 380-6660 |
NPI Number | 1942551577 |
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Provider Enumeration Date | 09/22/2012 |
Last Update Date | 09/22/2012 |
Identifier | Type | State | Issuer |
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1942551577 | NPI | - | NPPES |
244312246S | Medicaid | NC |
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