Northgate Family Medicine | |
1028 Lee Ann Dr Ne Suite 100 Concord NC 28025-2903 | |
(704) 788-1134 | |
(704) 788-1186 |
Full Name | Northgate Family Medicine |
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Speciality | Family Medicine |
Location | 1028 Lee Ann Dr Ne, Concord, North Carolina |
Authorized Official Name and Position | Geoffrey Gardner (VP OF OPERATIONS) |
Authorized Official Contact | 7043849094 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northgate Family Medicine Po Box 602362 Charlotte NC 28260-2362 Ph: (704) 384-7840 | Northgate Family Medicine 1028 Lee Ann Dr Ne Suite 100 Concord NC 28025-2903 Ph: (704) 788-1134 |
NPI Number | 1255470274 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 07/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255470274 | NPI | - | NPPES |
5906102 | Medicaid | NC | |
018WE | Other | NC | BCBS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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