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500 Pineview Dr Suite 101 Kernersville NC 27284-3813 | |
(336) 992-1351 | |
(336) 992-1361 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 500 Pineview Dr, Kernersville, 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 751803 Charlotte NC 28275-1803 Ph: (336) 992-1351 | 500 Pineview Dr Suite 101 Kernersville NC 27284-3813 Ph: (336) 992-1351 |
NPI Number | 1417242439 |
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Provider Enumeration Date | 06/17/2011 |
Last Update Date | 07/12/2023 |
Identifier | Type | State | Issuer |
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1417242439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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