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201 Woodson St Suite A Salisbury NC 28144-3286 | |
(704) 639-0097 | |
(704) 639-1389 |
Full Name | |
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Speciality | Family Medicine |
Location | 201 Woodson St, 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) 639-0097 | 201 Woodson St Suite A Salisbury NC 28144-3286 Ph: (704) 639-0097 |
NPI Number | 1154579522 |
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Provider Enumeration Date | 08/28/2008 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154579522 | NPI | - | NPPES |
5950642 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (North Carolina) | 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 | |