| Wellcomemd Nc Clinic Pllc | |
|
111 Kilson Dr Ste 201 Mooresville NC 28117-8218 | |
| (704) 444-0999 | |
| (980) 498-7007 |
| Full Name | Wellcomemd Nc Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Kilson Dr Ste 201, Mooresville, North Carolina |
| Authorized Official Name and Position | Jessica Parnell (REGIONAL DIRECTOR OF PRACTICE MANAG) |
| Authorized Official Contact | 8042568205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcomemd Nc Clinic Pllc 2500 Gaskins Rd Ste A Richmond VA 23238-1480 Ph: (704) 444-0999 | Wellcomemd Nc Clinic Pllc 111 Kilson Dr Ste 201 Mooresville NC 28117-8218 Ph: (704) 444-0999 |
| NPI Number | 1013525278 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Medicare PECOS PAC ID | 0648697078 |
|---|---|
| Medicare Enrollment ID | O20200901000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013525278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Iman Tamimi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124478680 PECOS PAC ID: 3870873458 Enrollment ID: I20190923002798 |
| Provider Name | Gary Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942399738 PECOS PAC ID: 0648223594 Enrollment ID: I20220901001413 |
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