| |
827 E King St Kings Mountain NC 28086-3186 | |
(704) 734-4550 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 827 E King St, Kings Mountain, North Carolina |
Authorized Official Name and Position | Kathleen Carley (PRACTICE MANAGER) |
Authorized Official Contact | 7047344550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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827 E King St Kings Mountain NC 28086-3186 Ph: (704) 734-4550 | 827 E King St Kings Mountain NC 28086-3186 Ph: (704) 734-4550 |
NPI Number | 1225211006 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 05/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225211006 | NPI | - | NPPES |
5902212 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southern Clinics And Urgent Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W King St, Ll 20, Kings Mountain, NC 28086 Phone: 704-865-2755 Fax: 704-865-5013 | |
Kings Clinic And Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W. King Street, Suite 20, Kings Mountain, NC 28086 Phone: 704-730-8461 |