| |
9930 Kincey Ave Ste 210 Huntersville NC 28078-6541 | |
(704) 316-5560 | |
(704) 316-5561 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 9930 Kincey Ave Ste 210, 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 |
---|---|
Po Box 60447 Charlotte NC 28260-0447 Ph: () - | 9930 Kincey Ave Ste 210 Huntersville NC 28078-6541 Ph: (704) 316-5560 |
NPI Number | 1992166771 |
---|---|
Provider Enumeration Date | 03/08/2016 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992166771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (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 | |