| |
1085 Northeast Gateway Ct, Ne Suite 200-a Concord NC 28025-2412 | |
(704) 403-8650 | |
(704) 403-8655 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1085 Northeast Gateway Ct, Ne, Concord, North Carolina |
Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
Authorized Official Contact | 7044034146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1085 Northeast Gateway Ct, Ne Suite 200-a Concord NC 28025-2412 Ph: (704) 403-8650 | 1085 Northeast Gateway Ct, Ne Suite 200-a Concord NC 28025-2412 Ph: (704) 403-8650 |
NPI Number | 1487600813 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 10/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487600813 | NPI | - | NPPES |
89012HK | Medicaid | NC | |
F827 | Other | NC | PARTNERS MEDICARE CHOICE |
5906964 | Medicaid | NC | |
CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
01058 | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
019FV | Other | NC | BCBS EFF 7-1-07 |
344295 | Other | NC | MAMSI GROUP NUMBER |
566000156042 | Other | NC | TRICARE STANDARD, NON NWK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Infinite Wellness Of The Carolinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Country Club Dr Ne, Concord, NC 28025 Phone: 704-792-2200 | |
Eventus Value Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 | |
Eventus Wholehealth Aco Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333 | |
Total Evaluation Services & Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Branchview Dr Ne, Suite F, Concord, NC 28025 Phone: 704-467-7783 |