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103 Stanly Pkwy Suite C Locust NC 28097-7710 | |
(704) 888-0580 | |
(704) 781-0360 |
Full Name | |
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Speciality | Family Medicine |
Location | 103 Stanly Pkwy, Locust, North Carolina |
Authorized Official Name and Position | Marindy Bost Harris (MANAGER REVENUE CYCLE) |
Authorized Official Contact | 7049837320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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320 Yadkin St Suite B Albemarle NC 28001-3447 Ph: (704) 983-7320 | 103 Stanly Pkwy Suite C Locust NC 28097-7710 Ph: (704) 888-0580 |
NPI Number | 1215274758 |
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Provider Enumeration Date | 01/03/2013 |
Last Update Date | 07/17/2013 |
Identifier | Type | State | Issuer |
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1215274758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |