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12905 Rosedale Hill Ave Huntersville NC 28078-3341 | |
(704) 801-1000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 12905 Rosedale Hill Ave, Huntersville, 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 | 12905 Rosedale Hill Ave Huntersville NC 28078-3341 Ph: (704) 801-1000 |
NPI Number | 1508892746 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 3375449655 |
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Medicare Enrollment ID | O20130226000082 |
Identifier | Type | State | Issuer |
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1508892746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |