| Sports Medicine And Injury Care | |
|
5651 Poplar Tent Rd Suite 200 Concord NC 28027-7530 | |
| (704) 863-4878 | |
| Not Available |
| Full Name | Sports Medicine And Injury Care |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 5651 Poplar Tent Rd, Concord, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SVP/OPERATIONS) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine And Injury Care Po Box 602148 Charlotte NC 28260-2148 Ph: (704) 863-4878 | Sports Medicine And Injury Care 5651 Poplar Tent Rd Suite 200 Concord NC 28027-7530 Ph: (704) 863-4878 |
| NPI Number | 1487091013 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 01/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487091013 | NPI | - | NPPES |
| 4843180046 | Other | NC | NC MEDICARE DME |
| 1487091013 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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