| Polkton Road | |
|
1233 Morningside Meadow Ln Matthews NC 28104-8553 | |
| (704) 684-0257 | |
| (704) 684-0258 |
| Full Name | Polkton Road |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1233 Morningside Meadow Ln, Matthews, North Carolina |
| Authorized Official Name and Position | George Towler (DIRECTOR) |
| Authorized Official Contact | 7046840257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polkton Road 7931 Ansonville Polkton Rd Polkton NC 28135-9336 Ph: (704) 684-0257 | Polkton Road 1233 Morningside Meadow Ln Matthews NC 28104-8553 Ph: (704) 684-0257 |
| NPI Number | 1467599316 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467599316 | NPI | - | NPPES |
| 8300505G | Medicaid | NC | |
| 8300505 | Medicaid | NC | |
| 8300505B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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