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9625 Northcross Center Ct Suite 102-e Huntersville NC 28078-7348 | |
(704) 403-1311 | |
(704) 403-1357 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 9625 Northcross Center Ct, Huntersville, North Carolina |
Authorized Official Name and Position | Frieda M Lowder (SR. VP) |
Authorized Official Contact | 7044034146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9625 Northcross Center Ct Suite 102-e Huntersville NC 28078-7348 Ph: (704) 403-1311 | 9625 Northcross Center Ct Suite 102-e Huntersville NC 28078-7348 Ph: (704) 403-1311 |
NPI Number | 1134433378 |
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Provider Enumeration Date | 07/29/2010 |
Last Update Date | 03/29/2013 |
Identifier | Type | State | Issuer |
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1134433378 | NPI | - | NPPES |
5916014 | Medicaid | NC | |
232009 | Other | NC | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |