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1904 Jake Alexander Blvd W Ste 301 Salisbury NC 28147-1177 | |
(704) 638-1555 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1904 Jake Alexander Blvd W Ste 301, Salisbury, 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: () - | 1904 Jake Alexander Blvd W Ste 301 Salisbury NC 28147-1177 Ph: (704) 638-1555 |
NPI Number | 1093475972 |
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Provider Enumeration Date | 12/20/2021 |
Last Update Date | 07/10/2023 |
Identifier | Type | State | Issuer |
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1093475972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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 | |