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612 Mocksville Ave Salisbury NC 28144-2732 | |
(704) 210-5260 | |
(704) 210-5265 |
Full Name | |
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Speciality | Hospitalist |
Location | 612 Mocksville Ave, 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: (704) 210-5260 | 612 Mocksville Ave Salisbury NC 28144-2732 Ph: (704) 210-5260 |
NPI Number | 1124762877 |
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Provider Enumeration Date | 04/27/2022 |
Last Update Date | 06/20/2024 |
Identifier | Type | State | Issuer |
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1124762877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (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 | |