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NPI Code Detail

MEDICARE: CHERRYVILLE PRIMARY CARE

MEDICARE: CHERRYVILLE PRIMARY CARE
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588693493
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHERRYVILLE PRIMARY CARE
Provider Business Mailing Address
First Line : PO BOX 601884
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1884
Country : US
Telephone Number : 980-487-2200
Fax Number : 704-435-3295
Provider Business Practice Location Address
First Line : 112 OAK ST
Second Line :
City : CHERRYVILLE
State : NC
Zip : 28021-3423
Country : US
Telephone Number : 980-487-2200
Fax Number : 704-435-3295
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : DANIEL L WIENS
Credential :
Telephone Number : 704-355-0648
Provider Enumeration Date : 07/02/2006
Last Update Date : 07/08/2013

Similar Medicare Providers

1174881940 — CHERRYVILLE PRIMARY CARE
Practice Location Address:
112 OAK ST
CHERRYVILLE, NC
28021-3423
Practice Phone: 980-487-2200
Practice Fax:
1760747992 — BARBARA MICHELE SCOTT LCSW
Practice Location Address:
112 OAK ST
CHERRYVILLE, NC
28021-3423
Practice Phone: 704-865-3529
Practice Fax: 704-865-4785
1689016610 — CAROLINAS PHYSICIANS NETWORK, INC.
Practice Location Address:
112 OAK ST
CHERRYVILLE, NC
28021-3423
Practice Phone: 980-487-2200
Practice Fax: 704-435-3295
1043614670 — MISTY SETZER CLINE FNP-C
Practice Location Address:
112 OAK ST
CHERRYVILLE, NC
28021-3423
Practice Phone: 980-487-2200
Practice Fax: 704-435-3295
1013369073 — CLAUDIA TURKSON-OCRAN
Practice Location Address:
112 OAK ST
CHERRYVILLE, NC
28021-3423
Practice Phone: 704-435-7954
Practice Fax:
1780680157 — JOSEPH ANDREW DUFFY D. C.
Practice Location Address:
1412 E CHURCH ST
CHERRYVILLE, NC
28021-9258
Practice Phone: 704-435-4536
Practice Fax: 704-435-4537

Directions to “CHERRYVILLE PRIMARY CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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