| |
167 Moore Rd Ste 206 King NC 27021-8770 | |
(336) 673-6450 | |
(336) 673-6449 |
Full Name | |
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Speciality | Family Medicine |
Location | 167 Moore Rd Ste 206, King, 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: () - | 167 Moore Rd Ste 206 King NC 27021-8770 Ph: (336) 673-6450 |
NPI Number | 1245797745 |
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Provider Enumeration Date | 02/21/2019 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
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1245797745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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