| Family Healthcare Of Lake Norman Pc | |
|
9718 Sam Furr Rd Ste. A Huntersville NC 28078-4978 | |
| (704) 987-7970 | |
| (704) 987-8221 |
| Full Name | Family Healthcare Of Lake Norman Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9718 Sam Furr Rd, Huntersville, North Carolina |
| Authorized Official Name and Position | Vincent Mark Winegardner (ADMINISTRATOR) |
| Authorized Official Contact | 7049877970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Of Lake Norman Pc 9718 Sam Furr Rd Ste. A Huntersville NC 28078-4978 Ph: (704) 987-7970 | Family Healthcare Of Lake Norman Pc 9718 Sam Furr Rd Ste. A Huntersville NC 28078-4978 Ph: (704) 987-7970 |
| NPI Number | 1770768665 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 08/05/2008 |
| Medicare PECOS PAC ID | 0547331324 |
|---|---|
| Medicare Enrollment ID | O20080623000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770768665 | NPI | - | NPPES |
| 891178M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9801807 (North Carolina) | Primary |
| Provider Name | Linda S Winegardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336147024 PECOS PAC ID: 8921179706 Enrollment ID: I20080623000218 |
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