Mt Holly Family Practice Inc | |
305 W Catawba Ave Mount Holly NC 28120-1613 | |
(704) 822-6200 | |
(704) 822-1601 |
Full Name | Mt Holly Family Practice Inc |
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Speciality | Family Medicine |
Location | 305 W Catawba Ave, Mount Holly, North Carolina |
Authorized Official Name and Position | Denise Craig Williams (OFFICE MANAGER) |
Authorized Official Contact | 7048226200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mt Holly Family Practice Inc Po Box 786 Mount Holly NC 28120 Ph: (704) 822-6200 | Mt Holly Family Practice Inc 305 W Catawba Ave Mount Holly NC 28120-1613 Ph: (704) 822-6200 |
NPI Number | 1740240522 |
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Provider Enumeration Date | 03/24/2006 |
Last Update Date | 09/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740240522 | NPI | - | NPPES |
897813A | Medicaid | NC | |
5950360 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |