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1700 Abbey Pl Ste 200 Park Road Medical Clinic Charlotte NC 28209-3742 | |
(704) 523-2565 | |
(704) 344-1241 |
Full Name | |
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Speciality | Family Medicine |
Location | 1700 Abbey Pl, Charlotte, North Carolina |
Authorized Official Name and Position | George L Raad (OWNER) |
Authorized Official Contact | 7045232565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 66 White Sulphur Springs WV 24986-0066 Ph: (304) 536-5030 | 1700 Abbey Pl Ste 200 Park Road Medical Clinic Charlotte NC 28209-3742 Ph: (704) 523-2565 |
NPI Number | 1508811530 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 08/23/2019 |
Medicare PECOS PAC ID | 5799791190 |
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Medicare Enrollment ID | O20060331000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508811530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 27283 (North Carolina) | Primary |
Provider Name | George L Raad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679513998 PECOS PAC ID: 3779599170 Enrollment ID: I20110523000839 |
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