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16525 Holly Crest Lane Suite 230 Huntersville NC 28078-4912 | |
(704) 316-6360 | |
(704) 316-6361 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 16525 Holly Crest Lane, Huntersville, 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) 384-7840 | 16525 Holly Crest Lane Suite 230 Huntersville NC 28078-4912 Ph: (704) 316-6360 |
NPI Number | 1376865519 |
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Provider Enumeration Date | 02/15/2010 |
Last Update Date | 07/11/2024 |
Identifier | Type | State | Issuer |
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1376865519 | NPI | - | NPPES |
5914148 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |