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1710 Kernersville Medical Pkwy Ste 210 Kernersville NC 27284-7157 | |
(336) 564-4950 | |
(336) 564-4959 |
Full Name | |
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Speciality | Internal Medicine - Obesity Medicine |
Location | 1710 Kernersville Medical Pkwy Ste 210, Kernersville, North Carolina |
Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
Authorized Official Contact | 7043849679 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60447 Charlotte NC 28260-0447 Ph: (336) 564-4950 | 1710 Kernersville Medical Pkwy Ste 210 Kernersville NC 27284-7157 Ph: (336) 564-4950 |
NPI Number | 1346627973 |
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Provider Enumeration Date | 05/04/2015 |
Last Update Date | 05/04/2015 |
Identifier | Type | State | Issuer |
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1346627973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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