| Lake Norman Medical Group, Primary Care Morrison Plantation | |
|
202 Williamson Rd Ste 100 Mooresville NC 28117-7610 | |
| (704) 799-7811 | |
| (704) 799-7812 |
| Full Name | Lake Norman Medical Group, Primary Care Morrison Plantation |
|---|---|
| Speciality | Internal Medicine |
| Location | 202 Williamson Rd Ste 100, Mooresville, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Norman Medical Group, Primary Care Morrison Plantation Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Lake Norman Medical Group, Primary Care Morrison Plantation 202 Williamson Rd Ste 100 Mooresville NC 28117-7610 Ph: (704) 799-7811 |
| NPI Number | 1356198956 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356198956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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