Mooresville Family Medicine | |
119-d-1 Marketplace Avenue Mooresville NC 28117-9157 | |
(704) 801-9160 | |
Not Available |
Full Name | Mooresville Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 119-d-1 Marketplace Avenue, Mooresville, North Carolina |
Authorized Official Name and Position | Thomas Laymon (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 7044468250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mooresville Family Medicine Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Mooresville Family Medicine 119-d-1 Marketplace Avenue Mooresville NC 28117-9157 Ph: (704) 801-9160 |
NPI Number | 1275080954 |
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Provider Enumeration Date | 09/09/2016 |
Last Update Date | 02/27/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275080954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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