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706 W King St Kings Mountain NC 28086-2708 | |
(980) 487-7436 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 706 W King St, Kings Mountain, North Carolina |
Authorized Official Name and Position | Anthony Defurio (EXECUTIVE VICE PRESIDENT AND CFO) |
Authorized Official Contact | 7043553304 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 32861 Charlotte NC 28232-2861 Ph: (704) 512-7124 | 706 W King St Kings Mountain NC 28086-2708 Ph: (980) 487-7436 |
NPI Number | 1679970586 |
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Provider Enumeration Date | 11/21/2014 |
Last Update Date | 11/01/2018 |
Identifier | Type | State | Issuer |
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1679970586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Southern Clinics And Urgent Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W King St, Ll 20, Kings Mountain, NC 28086 Phone: 704-865-2755 Fax: 704-865-5013 | |
Kings Clinic And Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W. King Street, Suite 20, Kings Mountain, NC 28086 Phone: 704-730-8461 |