| Copperfield Medical Center, Pllc | |
|
611 Mocksville Ave Salisbury NC 28144-2705 | |
| (704) 633-7220 | |
| (704) 647-0515 |
| Full Name | Copperfield Medical Center, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 611 Mocksville Ave, Salisbury, North Carolina |
| Authorized Official Name and Position | Gautam Patel (PRESIDENT) |
| Authorized Official Contact | 7046337220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copperfield Medical Center, Pllc 611 Mocksville Ave Salisbury NC 28144-2705 Ph: (704) 633-7220 | Copperfield Medical Center, Pllc 611 Mocksville Ave Salisbury NC 28144-2705 Ph: (704) 633-7220 |
| NPI Number | 1063781821 |
|---|---|
| Provider Enumeration Date | 12/23/2011 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063781821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2010-01202 (North Carolina) | Primary |
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