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NPI Code Detail

MEDICARE: NH VCN VIRTUAL PRIMARY CARE LLC

MEDICARE: NH VCN VIRTUAL PRIMARY CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1285567727
Entity Type Code : Organization
Provider Name (Legal Business Name) : NH VCN VIRTUAL PRIMARY CARE LLC
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HOSPITAL DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3764
Country : US
Telephone Number : 980-217-2025
Fax Number : 980-598-8251
Authorized Official
Title or Position : RCS MANAGER
Name : LEEA JEANINE WALTON
Credential :
Telephone Number : 704-316-6081
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “NH VCN VIRTUAL PRIMARY CARE LLC ” Practice Location

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