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5427 Nc Highway 49 S Ste 102 Harrisburg NC 28075-7408 | |
(704) 454-7360 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 5427 Nc Highway 49 S, Harrisburg, North Carolina |
Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
Authorized Official Contact | 7043558675 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | 5427 Nc Highway 49 S Ste 102 Harrisburg NC 28075-7408 Ph: (704) 454-7360 |
NPI Number | 1467886986 |
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Provider Enumeration Date | 09/03/2013 |
Last Update Date | 03/09/2023 |
Identifier | Type | State | Issuer |
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1467886986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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