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447 Mcalister Rd Ste 3400 Lincolnton NC 28092-4114 | |
(704) 863-4878 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 447 Mcalister Rd, Lincolnton, North Carolina |
Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
Authorized Official Contact | 7043558675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | 447 Mcalister Rd Ste 3400 Lincolnton NC 28092-4114 Ph: (704) 863-4878 |
NPI Number | 1457808271 |
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Provider Enumeration Date | 09/09/2016 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 3375449655 |
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Medicare Enrollment ID | O20170417000755 |
Identifier | Type | State | Issuer |
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1457808271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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