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1225 Lewisville Clemmons Rd Lewisville NC 27023-8251 | |
(336) 712-0700 | |
(336) 712-0876 |
Full Name | |
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Speciality | Family Medicine |
Location | 1225 Lewisville Clemmons Rd, Lewisville, 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 60447 Charlotte NC 28260-0447 Ph: () - | 1225 Lewisville Clemmons Rd Lewisville NC 27023-8251 Ph: (336) 712-0700 |
NPI Number | 1154011765 |
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Provider Enumeration Date | 05/09/2023 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
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1154011765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wake Forest Baptist Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 Shallowford Rd, Lewisville, NC 27023 Phone: 336-716-9253 | |