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9606 Caldwell Commons Cir Suite B Cornelius NC 28031-8111 | |
(704) 992-6033 | |
(704) 992-6023 |
Full Name | |
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Speciality | Internal Medicine - Medical Oncology |
Location | 9606 Caldwell Commons Cir, Cornelius, North Carolina |
Authorized Official Name and Position | Thomas Ford Laymon (SVP) |
Authorized Official Contact | 7046310002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 602120 Charlotte NC 28260-2120 Ph: (704) 992-6033 | 9606 Caldwell Commons Cir Suite B Cornelius NC 28031-8111 Ph: (704) 992-6033 |
NPI Number | 1548530199 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 08/12/2016 |
Identifier | Type | State | Issuer |
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1548530199 | NPI | - | NPPES |
QPB677 | Medicaid | SC | |
5919374 | Medicaid | NC |
Diabetic Special Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19900 W Catawba Ave, Cornelius, NC 28031 Phone: 704-895-8478 Fax: 704-895-8478 | |
Innovative Healthcare Management Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031 Phone: 704-473-5263 Fax: 704-731-0961 | |