| Kannapolis Internal Medicine | |
|
201 Dale Earnhardt Blvd Suite 200 Kannapolis NC 28083-0303 | |
| (704) 932-1155 | |
| (704) 932-3500 |
| Full Name | Kannapolis Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Dale Earnhardt Blvd, Kannapolis, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kannapolis Internal Medicine 201 Dale Earnhardt Blvd Suite 200 Kannapolis NC 28083-0303 Ph: (704) 932-1155 | Kannapolis Internal Medicine 201 Dale Earnhardt Blvd Suite 200 Kannapolis NC 28083-0303 Ph: (704) 932-1155 |
| NPI Number | 1689620957 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689620957 | NPI | - | NPPES |
| 0116M | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 566000156011 | Other | NC | TRICARE STANDARD, NON NWK |
| CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
| 890116M | Medicaid | NC | |
| 5906968 | Medicaid | NC | |
| 7231 | Other | NC | PARTNERS MEDICARE CHOICE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 019F3 | Other | NC | BCBS EFF 7-1-07 |
| 355573 | Other | NC | MAMSI GROUP NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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