Grover Family Practice | |
217 N Main St. Grover NC 28073 | |
(704) 937-7905 | |
(704) 937-9449 |
Full Name | Grover Family Practice |
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Speciality | Family Medicine |
Location | 217 N Main St., Grover, 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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Grover Family Practice 5000 Airport Center Pkwy Ste A Charlotte NC 28208-5899 Ph: (704) 512-4116 | Grover Family Practice 217 N Main St. Grover NC 28073 Ph: (704) 937-7905 |
NPI Number | 1740210897 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740210897 | NPI | - | NPPES |
89015J4 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |