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214 Cleveland Ave Kings Mountain NC 28086-3106 | |
(704) 730-1228 | |
(704) 730-1231 |
Full Name | |
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Speciality | Family Medicine |
Location | 214 Cleveland Ave, Kings Mountain, North Carolina |
Authorized Official Name and Position | David Michael Oconnor (CFO) |
Authorized Official Contact | 7048342049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 744786 Atlanta GA 30374-4786 Ph: (704) 834-2450 | 214 Cleveland Ave Kings Mountain NC 28086-3106 Ph: (704) 730-1228 |
NPI Number | 1578742177 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 08/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578742177 | NPI | - | NPPES |
890186R | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (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 |