| Indian Trail Family Medicine | |
|
4503 Old Monroe Rd Indian Trail NC 28079-5309 | |
| (704) 821-6900 | |
| (704) 821-6911 |
| Full Name | Indian Trail Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4503 Old Monroe Rd, Indian Trail, 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 |
|---|---|
| Indian Trail Family Medicine P O Box 601895 Charlotte NC 28260-0628 Ph: (704) 821-6900 | Indian Trail Family Medicine 4503 Old Monroe Rd Indian Trail NC 28079-5309 Ph: (704) 821-6900 |
| NPI Number | 1043386766 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043386766 | NPI | - | NPPES |
| NPB207 | Medicaid | SC | |
| 5905819 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Indian Trail Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4503 Old Monroe Rd, Indian Trail, NC 28079 Phone: 704-821-6900 Fax: 704-821-6911 | |
Indian Trail Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4503 Old Monroe Rd, Indian Trail, NC 28079 Phone: 980-993-7100 | |
Dove Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6030 Hwy 74, Suite D, Indian Trail, NC 28079 Phone: 704-246-2800 Fax: 704-246-2888 | |
Sports Medicine And Injury Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6050 W Highway 74, Indian Trail, NC 28079 Phone: 704-863-4878 | |
Union Endocrinology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4503 Old Monroe Rd, Suite A, Indian Trail, NC 28079 Phone: 704-684-0003 Fax: 704-684-0041 | |
Lake Park Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6208 Creft Cir, Ste 222, Indian Trail, NC 28079 Phone: 980-993-7150 |