Novant Health Parker Internal Medicine | |
330 Billingsley Rd Suite 101 Charlotte NC 28211-5020 | |
(704) 384-1605 | |
(704) 384-1610 |
Full Name | Novant Health Parker Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 330 Billingsley Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Geoffery Gardner (VP FINANCE) |
Authorized Official Contact | 7043847283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Novant Health Parker Internal Medicine Po Box 602362 Charlotte NC 28260-2362 Ph: (704) 384-1605 | Novant Health Parker Internal Medicine 330 Billingsley Rd Suite 101 Charlotte NC 28211-5020 Ph: (704) 384-1605 |
NPI Number | 1114967619 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 07/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114967619 | NPI | - | NPPES |
015YP | Other | NC | BCBS NC |
89015YP | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (North Carolina) | Primary |
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