Full Name | |
---|---|
Speciality | Family Medicine |
Location | 112 E 1st St, Oakboro, North Carolina |
Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
Authorized Official Contact | 7043558675 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | 112 E 1st St Oakboro NC 28129-9715 Ph: (980) 323-5240 |
NPI Number | 1861896789 |
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Provider Enumeration Date | 10/21/2014 |
Last Update Date | 03/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861896789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |