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612 Mocksville Ave Salisbury NC 28144-2732 | |
(704) 210-5930 | |
(704) 210-5237 |
Full Name | |
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Speciality | Internal Medicine |
Location | 612 Mocksville Ave, Salisbury, North Carolina |
Authorized Official Name and Position | Dinesh S. Pai (VP OPERATIONS) |
Authorized Official Contact | 7043849104 |
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) 210-5930 | 612 Mocksville Ave Salisbury NC 28144-2732 Ph: (704) 210-5930 |
NPI Number | 1295982825 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 09/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295982825 | NPI | - | NPPES |
5950558 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
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 | |