| Cabarrus Family Medicine - Mallard Creek | |
|
10320 Mallard Creek Road Suite 100 Charlotte NC 28262-5204 | |
| (704) 863-4000 | |
| (704) 547-9515 |
| Full Name | Cabarrus Family Medicine - Mallard Creek |
|---|---|
| Speciality | Family Medicine |
| Location | 10320 Mallard Creek Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT - OPERATIONS) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabarrus Family Medicine - Mallard Creek Po Box 602120 Charlotte NC 28260-2120 Ph: (704) 863-4000 | Cabarrus Family Medicine - Mallard Creek 10320 Mallard Creek Road Suite 100 Charlotte NC 28262-5204 Ph: (704) 863-4000 |
| NPI Number | 1033340922 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033340922 | NPI | - | NPPES |
| 7705276 | Other | NC | NC MEDICAID DME |
| 5950053 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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