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340 Jake Alexander Blvd W Salisbury NC 28147-1364 | |
(704) 403-6260 | |
(704) 403-6261 |
Full Name | |
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Speciality | Internal Medicine |
Location | 340 Jake Alexander Blvd W, Salisbury, North Carolina |
Authorized Official Name and Position | Frieda Miller Lowder (SR VICE PRESIDENT) |
Authorized Official Contact | 7044034146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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340 Jake Alexander Blvd W Salisbury NC 28147-1364 Ph: (704) 403-6260 | 340 Jake Alexander Blvd W Salisbury NC 28147-1364 Ph: (704) 403-6260 |
NPI Number | 1003174491 |
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Provider Enumeration Date | 04/24/2012 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003174491 | NPI | - | NPPES |
5920431 | Medicaid | NC | |
232009 | Other | NC | MEDICARE PTAN, GROUP |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal 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 | |