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319 Penny Ln Suite B Concord NC 28025-1221 | |
| (704) 403-7780 | |
| (704) 403-7781 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 319 Penny Ln, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (SR. VICE PRESIDENT) |
| Authorized Official Contact | 7044031780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
319 Penny Ln Suite B Concord NC 28025-1221 Ph: (704) 403-7780 | 319 Penny Ln Suite B Concord NC 28025-1221 Ph: (704) 403-7780 |
| NPI Number | 1457788812 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457788812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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