| Primary Care Associates Of Lake Norman | |
|
202 Williamson Rd Suite 100 Mooresville NC 28117-7610 | |
| (704) 799-7811 | |
| (704) 799-7812 |
| Full Name | Primary Care Associates Of Lake Norman |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Williamson Rd, Mooresville, 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 |
|---|---|
| Primary Care Associates Of Lake Norman 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7230 | Primary Care Associates Of Lake Norman 202 Williamson Rd Suite 100 Mooresville NC 28117-7610 Ph: (704) 799-7811 |
| NPI Number | 1861769119 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861769119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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