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1995 Wellness Blvd Ste 110&210 Monroe NC 28110-7769 | |
(704) 384-1140 | |
(704) 384-1141 |
Full Name | |
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Speciality | Family Medicine |
Location | 1995 Wellness Blvd Ste 110&210, Monroe, 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) 384-1140 | 1995 Wellness Blvd Ste 110&210 Monroe NC 28110-7769 Ph: (704) 384-1140 |
NPI Number | 1043258718 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043258718 | NPI | - | NPPES |
0138U | Other | NC | BCBS |
NPA743 | Medicaid | SC | |
890138U | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |