| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205324449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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