Family Healthcare Of Lake Norman Pc | |
9718 Sam Furr Rd Ste. A Huntersville NC 28078-4978 | |
(704) 987-7970 | |
(704) 987-8221 |
Full Name | Family Healthcare Of Lake Norman Pc |
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Speciality | Family Medicine |
Location | 9718 Sam Furr Rd, Huntersville, North Carolina |
Authorized Official Name and Position | Vincent Mark Winegardner (ADMINISTRATOR) |
Authorized Official Contact | 7049877970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Healthcare Of Lake Norman Pc 9718 Sam Furr Rd Ste. A Huntersville NC 28078-4978 Ph: (704) 987-7970 | Family Healthcare Of Lake Norman Pc 9718 Sam Furr Rd Ste. A Huntersville NC 28078-4978 Ph: (704) 987-7970 |
NPI Number | 1770768665 |
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Provider Enumeration Date | 01/09/2008 |
Last Update Date | 08/05/2008 |
Medicare PECOS PAC ID | 0547331324 |
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Medicare Enrollment ID | O20080623000231 |
Identifier | Type | State | Issuer |
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1770768665 | NPI | - | NPPES |
891178M | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 9801807 (North Carolina) | Primary |
Provider Name | Linda S Winegardner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336147024 PECOS PAC ID: 8921179706 Enrollment ID: I20080623000218 |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |