| Christopherson Family Medicine, Llc | |
|
319 Penny Ln Concord NC 28025-1221 | |
| (704) 403-2680 | |
| (704) 784-4346 |
| Full Name | Christopherson Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 319 Penny Ln, Concord, North Carolina |
| Authorized Official Name and Position | Thomas F Laymon (SR. VICE PRESIDENT) |
| Authorized Official Contact | 7044032276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopherson Family Medicine, Llc 319 Penny Ln Concord NC 28025-1221 Ph: (704) 403-2680 | Christopherson Family Medicine, Llc 319 Penny Ln Concord NC 28025-1221 Ph: (704) 403-2680 |
| NPI Number | 1508918293 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 02/22/2016 |
| Medicare PECOS PAC ID | 0143324848 |
|---|---|
| Medicare Enrollment ID | O20070406000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508918293 | NPI | - | NPPES |
| 011JE | Other | NC | BCBS NC OLD GROUP# |
| 5905765 | Other | NC | MEDICAID OLD GROUP NUMBER |
| DF5941 | Other | NC | RAILROAD MEDICARE PTAN, GROUP |
| 892247A | Other | NC | MEDICAID OLD GROUP NUMBER |
| 5906984 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34832 (North Carolina) | Primary |
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