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1750 Kernersville Medical Pkwy Kernersville NC 27284-7146 | |
(336) 564-4000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1750 Kernersville Medical Pkwy, Kernersville, North Carolina |
Authorized Official Name and Position | Geoffrey Keith Gardner (VP FINANCE) |
Authorized Official Contact | 7043847603 |
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: (704) 384-7840 | 1750 Kernersville Medical Pkwy Kernersville NC 27284-7146 Ph: (336) 564-4000 |
NPI Number | 1659724128 |
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Provider Enumeration Date | 07/19/2016 |
Last Update Date | 11/01/2016 |
Identifier | Type | State | Issuer |
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1659724128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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