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9625 Northcross Center Ct Ste 102g Huntersville NC 28078-7348 | |
(704) 403-2660 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 9625 Northcross Center Ct, Huntersville, 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 | 9625 Northcross Center Ct Ste 102g Huntersville NC 28078-7348 Ph: (704) 403-2660 |
NPI Number | 1376970418 |
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Provider Enumeration Date | 10/03/2013 |
Last Update Date | 03/09/2023 |
Identifier | Type | State | Issuer |
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1376970418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | (* (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 | |