Kings Clinic And Urgent Care Pllc | |
407 W. King Street Suite 20 Kings Mountain NC 28086-3345 | |
(704) 730-8461 | |
Not Available |
Full Name | Kings Clinic And Urgent Care Pllc |
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Speciality | Family Medicine |
Location | 407 W. King Street, Kings Mountain, North Carolina |
Authorized Official Name and Position | Temidayo Adesoji Adelekun (MEMBER) |
Authorized Official Contact | 7047308461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kings Clinic And Urgent Care Pllc 407 W. King Street Suite 20 Kings Mountain NC 28086-3345 Ph: (704) 730-8461 | Kings Clinic And Urgent Care Pllc 407 W. King Street Suite 20 Kings Mountain NC 28086-3345 Ph: (704) 730-8461 |
NPI Number | 1194875765 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 04/29/2013 |
Medicare PECOS PAC ID | 1850484460 |
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Medicare Enrollment ID | O20070912000229 |
Identifier | Type | State | Issuer |
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1194875765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 200001048 (North Carolina) | Primary |
Provider Name | Temidayo A Adelekun |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962497537 PECOS PAC ID: 9436139094 Enrollment ID: I20040723000283 |
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 | |