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1910 Jake Alexander Blvd W Ste 201 Salisbury NC 28147-1165 | |
(704) 638-8631 | |
(704) 638-8639 |
Full Name | |
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Speciality | Internal Medicine - Obesity Medicine |
Location | 1910 Jake Alexander Blvd W Ste 201, Salisbury, North Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
Authorized Official Contact | 7043166081 |
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: (704) 638-8631 | 1910 Jake Alexander Blvd W Ste 201 Salisbury NC 28147-1165 Ph: (704) 638-8631 |
NPI Number | 1093141392 |
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Provider Enumeration Date | 09/18/2013 |
Last Update Date | 06/20/2024 |
Identifier | Type | State | Issuer |
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1093141392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
Copperfield Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |