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NPI 1912933219 Active Internal Medicine

Quick Facts

NPI Number

1912933219

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2006-06-25

Last Updated (NPPES)

2008-06-13

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	9800208 NC

Practice Address

103 COMMERCE CENTER DR
HUNTERSVILLE, NC 280785869

Phone: 704-947-0044

Fax: 704-947-0303

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