| Northlake Neurology - Huntersville | |
|
16525 Holly Crest Ln Suite 120 Huntersville NC 28078-4909 | |
| (704) 316-5388 | |
| (704) 316-1848 |
| Full Name | Northlake Neurology - Huntersville |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 16525 Holly Crest Ln, Huntersville, North Carolina |
| Authorized Official Name and Position | Geoffrey Gardner (VP OF FINANCE) |
| Authorized Official Contact | 7043849094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlake Neurology - Huntersville Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Northlake Neurology - Huntersville 16525 Holly Crest Ln Suite 120 Huntersville NC 28078-4909 Ph: (704) 316-5388 |
| NPI Number | 1821248196 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821248196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (North Carolina) | Primary |
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