Innovative Healthcare Management Provider Group | |
19401 Old Jetton Rd Ste 100 Cornelius NC 28031-6575 | |
(704) 473-5263 | |
(704) 731-0961 |
Full Name | Innovative Healthcare Management Provider Group |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 19401 Old Jetton Rd Ste 100, Cornelius, North Carolina |
Authorized Official Name and Position | Melissa G Lynch (OWNER) |
Authorized Official Contact | 7044735263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Healthcare Management Provider Group Po Box 3081 Huntersville NC 28070-3081 Ph: (704) 473-5263 | Innovative Healthcare Management Provider Group 19401 Old Jetton Rd Ste 100 Cornelius NC 28031-6575 Ph: (704) 473-5263 |
NPI Number | 1205324449 |
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Provider Enumeration Date | 04/24/2018 |
Last Update Date | 04/24/2018 |
Identifier | Type | State | Issuer |
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1205324449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Diabetic Special Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19900 W Catawba Ave, Cornelius, NC 28031 Phone: 704-895-8478 Fax: 704-895-8478 | |