Novant Health Medical Group, Llc | |
1965 S Us 29 Hwy China Grove NC 28023-5684 | |
(704) 855-8338 | |
(704) 855-8339 |
Full Name | Novant Health Medical Group, Llc |
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Speciality | Family Medicine |
Location | 1965 S Us 29 Hwy, China Grove, 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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Novant Health Medical Group, Llc Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 855-8338 | Novant Health Medical Group, Llc 1965 S Us 29 Hwy China Grove NC 28023-5684 Ph: (704) 855-8338 |
NPI Number | 1740505924 |
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Provider Enumeration Date | 03/31/2010 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740505924 | NPI | - | NPPES |
5914156 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Main Street Family Practice Of China Grove Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 S Main St, China Grove, NC 28023 Phone: 704-857-8769 Fax: 704-857-8779 | |
Main Street Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Main Street, China Grove, NC 28023 Phone: 704-857-8769 Fax: 704-857-8779 | |