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16630 Northcross Dr Huntersville NC 28078-5048 | |
(704) 766-2606 | |
(704) 766-2608 |
Full Name | |
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Speciality | Family Medicine |
Location | 16630 Northcross Dr, Huntersville, North Carolina |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7230 | 16630 Northcross Dr Huntersville NC 28078-5048 Ph: (704) 766-2606 |
NPI Number | 1588941496 |
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Provider Enumeration Date | 11/05/2011 |
Last Update Date | 01/14/2022 |
Identifier | Type | State | Issuer |
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1588941496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
The Independence Center For Hyperbarics And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14330 Oakhill Lane, Suite 140, Huntersville, NC 28078 Phone: 704-997-8146 Fax: 704-997-8125 | |