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706 W King St Kings Mountain NC 28086-2708 | |
| (980) 487-5510 | |
| (980) 487-5515 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 706 W King St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Thomas Ford Laymon (SVP) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 601884 Charlotte NC 28260-1884 Ph: (980) 487-5510 | 706 W King St Kings Mountain NC 28086-2708 Ph: (980) 487-5510 |
| NPI Number | 1184066342 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184066342 | NPI | - | NPPES |
| 1184066342 | Medicaid | NC | |
| NPB422 | Medicaid | SC | |
| 5916702 | Medicaid | NC | |
| NPB573 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Southern Clinics And Urgent Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W King St, Ll 20, Kings Mountain, NC 28086 Phone: 704-865-2755 Fax: 704-865-5013 | |
Kings Clinic And Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W. King Street, Suite 20, Kings Mountain, NC 28086 Phone: 704-730-8461 |