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611 Mocksville Ave Salisbury NC 28144-2705 | |
(704) 633-7220 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 611 Mocksville Ave, Salisbury, North Carolina |
Authorized Official Name and Position | Paul A Verhaeghe (CEO) |
Authorized Official Contact | 7046337220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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611 Mocksville Ave Salisbury NC 28144-2705 Ph: (704) 633-7220 | 611 Mocksville Ave Salisbury NC 28144-2705 Ph: (704) 633-7220 |
NPI Number | 1275921157 |
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Provider Enumeration Date | 12/31/2014 |
Last Update Date | 12/31/2014 |
Identifier | Type | State | Issuer |
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1275921157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Copperfield Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |