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650 Julian Rd Salisbury NC 28147-9078 | |
(704) 637-3373 | |
(704) 637-0069 |
Full Name | |
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Speciality | Family Medicine |
Location | 650 Julian Rd, Salisbury, 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) 637-3373 | 650 Julian Rd Salisbury NC 28147-9078 Ph: (704) 637-3373 |
NPI Number | 1750534038 |
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Provider Enumeration Date | 10/30/2008 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750534038 | NPI | - | NPPES |
5950574 | Medicaid | NC | |
CC5118 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Copperfield Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |