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243 Highway 49 N Richfield NC 28137-5731 | |
(704) 463-5003 | |
(704) 463-1976 |
Full Name | |
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Speciality | Family Medicine |
Location | 243 Highway 49 N, Richfield, North Carolina |
Authorized Official Name and Position | Marindy Bost Harris (MANAGER REVENUE CYCLE) |
Authorized Official Contact | 7049837320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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320 Yadkin St Ste B Albemarle NC 28001-3447 Ph: (704) 983-7320 | 243 Highway 49 N Richfield NC 28137-5731 Ph: (704) 463-5003 |
NPI Number | 1073594115 |
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Provider Enumeration Date | 11/07/2005 |
Last Update Date | 07/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073594115 | NPI | - | NPPES |
890280V | Medicaid | NC | |
0280V | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |