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332 Sam Newell Rd Suite 2000 Matthews NC 28105-6566 | |
| (704) 302-8500 | |
| (704) 302-8501 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Medical Oncology |
| Location | 332 Sam Newell Rd, Matthews, North Carolina |
| Authorized Official Name and Position | Peter Acker (ADMINISTRATOR) |
| Authorized Official Contact | 9802121000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 602120 Charlotte NC 28260-2120 Ph: (704) 302-8500 | 332 Sam Newell Rd Suite 2000 Matthews NC 28105-6566 Ph: (704) 302-8500 |
| NPI Number | 1770859126 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 06/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770859126 | NPI | - | NPPES |
| NPB470 | Medicaid | SC | |
| 5919627 | Medicaid | NC |
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