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1423 E Franklin St Suite D Monroe NC 28112-5266 | |
(704) 226-6474 | |
(704) 289-2355 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1423 E Franklin St, Monroe, North Carolina |
Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 7043550648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 601885 Charlotte NC 28260-0628 Ph: (704) 226-6474 | 1423 E Franklin St Suite D Monroe NC 28112-5266 Ph: (704) 226-6474 |
NPI Number | 1770659492 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 08/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770659492 | NPI | - | NPPES |
5905767 | Medicaid | NC | |
NPB208 | Medicaid | SC | |
5905768 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |