| Family Medicine Care, Pllc | |
|
18509 Statesville Rd Ste B1 Cornelius NC 28031-5703 | |
| (704) 359-7426 | |
| Not Available |
| Full Name | Family Medicine Care, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 18509 Statesville Rd Ste B1, Cornelius, North Carolina |
| Authorized Official Name and Position | Mario Augusto Hernandez (MD) |
| Authorized Official Contact | 7043597426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Care, Pllc 18509 Statesville Rd Ste B1 Cornelius NC 28031-5703 Ph: (704) 359-7426 | Family Medicine Care, Pllc 18509 Statesville Rd Ste B1 Cornelius NC 28031-5703 Ph: (704) 359-7426 |
| NPI Number | 1982918314 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982918314 | NPI | - | NPPES |
| 7100062480 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 201000567 (North Carolina) | Primary |
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