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510 N Main St Troutman NC 28166-9529 | |
| (704) 528-3721 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 N Main St, Troutman, North Carolina |
| Authorized Official Name and Position | Kathryn Heles (CREDENTIALING) |
| Authorized Official Contact | 8663400396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 896199 Charlotte NC 28289-9529 Ph: (833) 936-1364 | 510 N Main St Troutman NC 28166-9529 Ph: (704) 528-3721 |
| NPI Number | 1205136595 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205136595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 S Main St, Troutman, NC 28166 Phone: 704-528-9903 Fax: 704-528-4192 |