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613 E Roosevelt Blvd Monroe NC 28112-5124 | |
(843) 672-6127 | |
(843) 672-5748 |
Full Name | |
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Speciality | Family Medicine |
Location | 613 E Roosevelt Blvd, Monroe, North Carolina |
Authorized Official Name and Position | Daniel L. Wiens (SENIOR VICE PRESIDENT OF OPERATIONS) |
Authorized Official Contact | 7043550648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 601897 Charlotte NC 28260-1897 Ph: (843) 672-6127 | 613 E Roosevelt Blvd Monroe NC 28112-5124 Ph: (843) 672-6127 |
NPI Number | 1023347028 |
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Provider Enumeration Date | 12/22/2009 |
Last Update Date | 08/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023347028 | NPI | - | NPPES |
NPB358 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |