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16525 Holly Crest Ln Ste 220 Huntersville NC 28078-4909 | |
(704) 384-1940 | |
(704) 895-5977 |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 16525 Holly Crest Ln Ste 220, 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) 384-7980 | 16525 Holly Crest Ln Ste 220 Huntersville NC 28078-4909 Ph: (704) 384-1940 |
NPI Number | 1003332016 |
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Provider Enumeration Date | 08/22/2017 |
Last Update Date | 06/20/2024 |
Identifier | Type | State | Issuer |
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1003332016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (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 | |