| Medical Practice Of Concord, Pc | |
|
940 Lee Ann Dr Ne Concord NC 28025-2957 | |
| (704) 262-7240 | |
| (704) 262-7249 |
| Full Name | Medical Practice Of Concord, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 940 Lee Ann Dr Ne, Concord, North Carolina |
| Authorized Official Name and Position | Edward R Mogabgab (BUSINESS OWNER) |
| Authorized Official Contact | 7042627240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Practice Of Concord, Pc 940 Lee Ann Dr Ne Concord NC 28025-2957 Ph: (704) 262-7240 | Medical Practice Of Concord, Pc 940 Lee Ann Dr Ne Concord NC 28025-2957 Ph: (704) 262-7240 |
| NPI Number | 1942472667 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942472667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9501609 (North Carolina) | Primary |
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