| |
108 W Mountain St Kings Mountain NC 28086-3413 | |
(704) 739-5550 | |
(800) 317-3563 |
Full Name | |
---|---|
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 |
---|---|
108 W Mountain St Kings Mountain NC 28086-3413 Ph: (704) 739-5550 | 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 |
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 |