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111 Dave Warlick Dr Lincolnton NC 28092-4411 | |
(704) 240-8133 | |
(866) 493-3890 |
Full Name | |
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Speciality | Family Medicine |
Location | 111 Dave Warlick Dr, Lincolnton, North Carolina |
Authorized Official Name and Position | Austin Dale Gates (OWNER) |
Authorized Official Contact | 7042140935 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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111 Dave Warlick Dr Lincolnton NC 28092-4411 Ph: (704) 214-0935 | 111 Dave Warlick Dr Lincolnton NC 28092-4411 Ph: (704) 240-8133 |
NPI Number | 1720857220 |
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Provider Enumeration Date | 12/26/2023 |
Last Update Date | 03/21/2024 |
Medicare PECOS PAC ID | 5294277661 |
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Medicare Enrollment ID | O20240613000543 |
Identifier | Type | State | Issuer |
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1720857220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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