| |
10030 Edison Square Dr Nw Suite 204 Concord NC 28027-8308 | |
(704) 783-1840 | |
(704) 783-1850 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 10030 Edison Square Dr Nw, Concord, North Carolina |
Authorized Official Name and Position | Mark Aldous (MANAGING PARTNER) |
Authorized Official Contact | 7047831840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1070 Vinehaven Dr Ne Concord NC 28025-2438 Ph: (704) 783-1840 | 10030 Edison Square Dr Nw Suite 204 Concord NC 28027-8308 Ph: (704) 783-1840 |
NPI Number | 1245776889 |
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Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245776889 | NPI | - | NPPES |
1508279043 | Medicaid | NC | |
8971386 | Medicaid | NC | |
1194142422 | Medicaid | NC | |
710009300 | Medicaid | NC | |
891031V | Medicaid | NC | |
89136HK | Medicaid | NC | |
8926776 | Medicaid | NC | |
5904428 | Medicaid | NC | |
1396923322 | Other | NC | NPI |
89128WY | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | AS0104 (North Carolina) | Primary |
Infinite Wellness Of The Carolinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Country Club Dr Ne, Concord, NC 28025 Phone: 704-792-2200 | |
Eventus Value Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 | |
Eventus Wholehealth Aco Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333 | |
Total Evaluation Services & Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Branchview Dr Ne, Suite F, Concord, NC 28025 Phone: 704-467-7783 |