| Ervin Clinic | |
|
108 W Mountain St Kings Mountain NC 28086-3413 | |
| (704) 739-5550 | |
| (800) 317-3563 |
| Full Name | Ervin Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 108 W Mountain St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Virginia B Ervin (OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7047395550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ervin Clinic 108 W Mountain St Kings Mountain NC 28086-3413 Ph: (704) 739-5550 | Ervin Clinic 108 W Mountain St Kings Mountain NC 28086-3413 Ph: (704) 739-5550 |
| NPI Number | 1285886424 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285886424 | NPI | - | NPPES |
| 2592397A | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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