| Mooresville Family Practice | |
|
417 E Statesville Ave Mooresville NC 28115-2590 | |
| (704) 663-2389 | |
| (704) 663-4873 |
| Full Name | Mooresville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 417 E Statesville Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLL & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mooresville Family Practice Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7230 | Mooresville Family Practice 417 E Statesville Ave Mooresville NC 28115-2590 Ph: (704) 663-2389 |
| NPI Number | 1215214127 |
|---|---|
| Provider Enumeration Date | 11/05/2011 |
| Last Update Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215214127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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