| South Point Family Practice | |
|
1220 Spruce St Belmont NC 28012-3370 | |
| (704) 825-5333 | |
| (704) 825-1751 |
| Full Name | South Point Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 Spruce St, Belmont, North Carolina |
| Authorized Official Name and Position | Douglas Luckett (PRESIDENT, CEO) |
| Authorized Official Contact | 7048342133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Point Family Practice 1220 Spruce St Belmont NC 28012-3370 Ph: (704) 825-5333 | South Point Family Practice 1220 Spruce St Belmont NC 28012-3370 Ph: (704) 825-5333 |
| NPI Number | 1609057629 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609057629 | NPI | - | NPPES |
| 5905651 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
South Point Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Spruce St, Belmont, NC 28012 Phone: 704-825-5333 Fax: 704-825-1751 | |
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South Point Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Spruce St, Belmont, NC 28012 Phone: 704-825-5333 Fax: 704-825-1751 | |
South Point Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Spruce St, Belmont, NC 28012 Phone: 704-825-5333 Fax: 704-825-1751 |