| Northgate Family Medicine | |
|
1028 Lee Ann Dr Ne Suite 100 Concord NC 28025-2911 | |
| (704) 788-1134 | |
| (704) 788-1186 |
| Full Name | Northgate Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1028 Lee Ann Dr Ne, Concord, North Carolina |
| Authorized Official Name and Position | Daniel Lee Holland (OWNER) |
| Authorized Official Contact | 7047881134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northgate Family Medicine 1028 Lee Ann Dr Ne Suite 100 Concord NC 28025-2911 Ph: (704) 788-1134 | Northgate Family Medicine 1028 Lee Ann Dr Ne Suite 100 Concord NC 28025-2911 Ph: (704) 788-1134 |
| NPI Number | 1679514624 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679514624 | NPI | - | NPPES |
| 891326J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9701402 (North Carolina) | Primary |
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