| Novant Health Granite Quarry Internal Medicine & Pediatrics | |
|
111 S Salisbury Gq Ave Salisbury NC 28146-8150 | |
| (704) 279-1679 | |
| (704) 279-1677 |
| Full Name | Novant Health Granite Quarry Internal Medicine & Pediatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 111 S Salisbury Gq Ave, 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 |
|---|---|
| Novant Health Granite Quarry Internal Medicine & Pediatrics Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 279-1679 | Novant Health Granite Quarry Internal Medicine & Pediatrics 111 S Salisbury Gq Ave Salisbury NC 28146-8150 Ph: (704) 279-1679 |
| NPI Number | 1104152024 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104152024 | NPI | - | NPPES |
| 5913612 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (North Carolina) | Secondary |
Southpoint Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Jake Alexander Blvd W, Salisbury, NC 28147 Phone: 704-403-6260 Fax: 704-403-6261 | |
Southeast Bariatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 West Henderson Street, Kiser Building, Suite 410, Salisbury, NC 28144 Phone: 704-347-4144 Fax: 704-347-4148 | |
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 | |
Northeast Endocrinology-salisbury Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Jake Alexander Blvd W, Suite C, Salisbury, NC 28147 Phone: 704-403-8320 Fax: 704-403-8321 | |
Novant Health Bariatric Solutions Rowan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147 Phone: 704-638-8631 Fax: 704-638-8639 | |
Novant Health Diabetes Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147 Phone: 704-638-1555 |