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16525 Holly Crest Ln Ste 230 Huntersville NC 28078-4912 | |
(704) 384-7390 | |
(704) 384-5669 |
Full Name | |
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Speciality | Internal Medicine |
Location | 16525 Holly Crest Ln Ste 230, Huntersville, North Carolina |
Authorized Official Name and Position | Shala Davis (MANAGED CARE MANAGER) |
Authorized Official Contact | 7043037517 |
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: () - | 16525 Holly Crest Ln Ste 230 Huntersville NC 28078-4912 Ph: (704) 384-7390 |
NPI Number | 1750924213 |
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Provider Enumeration Date | 10/28/2019 |
Last Update Date | 08/17/2021 |
Identifier | Type | State | Issuer |
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1750924213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |