Novant Health Pediatrics & Internal Medicine Gateway | |
137 Professional Park Dr Ste A Mooresville NC 28117-6541 | |
(704) 660-2634 | |
(704) 660-2635 |
Full Name | Novant Health Pediatrics & Internal Medicine Gateway |
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Speciality | Internal Medicine |
Location | 137 Professional Park Dr Ste A, Mooresville, 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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Novant Health Pediatrics & Internal Medicine Gateway Po Box 60447 Charlotte NC 28260-0447 Ph: () - | Novant Health Pediatrics & Internal Medicine Gateway 137 Professional Park Dr Ste A Mooresville NC 28117-6541 Ph: (704) 660-2634 |
NPI Number | 1447006002 |
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Provider Enumeration Date | 04/25/2024 |
Last Update Date | 06/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447006002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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