| Northwest Family Physicians, P.a. | |
|
7920 Moores Chapel Rd Charlotte NC 28214-9453 | |
| (704) 926-7800 | |
| (704) 926-7806 |
| Full Name | Northwest Family Physicians, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 7920 Moores Chapel Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | William G. Larsen (OWNER) |
| Authorized Official Contact | 7049267800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Physicians, P.a. 7920 Moores Chapel Rd Charlotte NC 28214-9453 Ph: (704) 926-7800 | Northwest Family Physicians, P.a. 7920 Moores Chapel Rd Charlotte NC 28214-9453 Ph: (704) 926-7800 |
| NPI Number | 1093721722 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 01/11/2010 |
| Medicare PECOS PAC ID | 9436133972 |
|---|---|
| Medicare Enrollment ID | O20040614001291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093721722 | NPI | - | NPPES |
| 89-011A0 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William G Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164483004 PECOS PAC ID: 7315081544 Enrollment ID: I20100225000443 |
| Provider Name | Catherine B Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932160249 PECOS PAC ID: 6204970445 Enrollment ID: I20100315000784 |
| Provider Name | Jennifer Lynn Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821338443 PECOS PAC ID: 7719235167 Enrollment ID: I20180801003619 |
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