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1811 E Innes St Salisbury NC 28146-6030 | |
(704) 216-8777 | |
(704) 638-3129 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 1811 E Innes St, Salisbury, North Carolina |
Authorized Official Name and Position | Nina M. Oliver (INTERIM HEALTH DIRECTOR) |
Authorized Official Contact | 7042168871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1811 E Innes St Salisbury NC 28146-6030 Ph: (704) 216-8777 | 1811 E Innes St Salisbury NC 28146-6030 Ph: (704) 216-8777 |
NPI Number | 1558419986 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 12/23/2013 |
Identifier | Type | State | Issuer |
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1558419986 | NPI | - | NPPES |
07231 | Other | NC | BLUECROSSBLUESHIELD OF NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | 34D0672502 (North Carolina) | Secondary |
Copperfield Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |