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103 Commmerce Centre Drive Suite 103 Huntersville NC 28078 | |
(704) 948-8582 | |
(704) 948-8582 |
Full Name | |
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Speciality | Internal Medicine |
Location | 103 Commmerce Centre Drive, Huntersville, North Carolina |
Authorized Official Name and Position | Roseanne Sanders (PRACTICE MANAGER) |
Authorized Official Contact | 7049488582 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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103 Commerce Centre Dr Suite 103 Huntersville NC 28078-5869 Ph: (704) 948-8582 | 103 Commmerce Centre Drive Suite 103 Huntersville NC 28078 Ph: (704) 948-8582 |
NPI Number | 1407937972 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 08/27/2020 |
Medicare PECOS PAC ID | 8820183346 |
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Medicare Enrollment ID | O20070928000304 |
Identifier | Type | State | Issuer |
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1407937972 | NPI | - | NPPES |
Provider Name | Frederick A Cruickshank |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1659390441 PECOS PAC ID: 8628009818 Enrollment ID: I20070213000661 |
Provider Name | Christine Trinidad Lomboy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649447194 PECOS PAC ID: 8628082567 Enrollment ID: I20101228000898 |
Provider Name | Ashley Day Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821469578 PECOS PAC ID: 3577852623 Enrollment ID: I20160513000332 |
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 | |