| Dtna - Mt. Holly | |
|
1800 N Main St Mount Holly NC 28120-9141 | |
| (704) 822-7301 | |
| (704) 822-7488 |
| Full Name | Dtna - Mt. Holly |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1800 N Main St, Mount Holly, North Carolina |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtna - Mt. Holly 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Dtna - Mt. Holly 1800 N Main St Mount Holly NC 28120-9141 Ph: (704) 822-7301 |
| NPI Number | 1457026601 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457026601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Caromont Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Woodlawn Rd, Mount Holly, NC 28120 Phone: 704-827-3575 Fax: 704-827-0840 | |
Mt Holly Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Catawba Ave, Mount Holly, NC 28120 Phone: 704-822-6200 Fax: 704-822-1601 |