| |
1802 E Main St Lincolnton NC 28092-3915 | |
(980) 212-2610 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1802 E Main St, 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 | 1802 E Main St Lincolnton NC 28092-3915 Ph: (980) 212-2610 |
NPI Number | 1871965038 |
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Provider Enumeration Date | 10/28/2015 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 3375449655 |
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Medicare Enrollment ID | O20161026003214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871965038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Kennedy Dr, Lincolnton, NC 28092 Phone: 704-735-2741 | |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Startown Rd, Lincolnton, NC 28092 Phone: 704-735-1120 Fax: 704-732-6811 | |
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