| Fryecare Lincolnton Medical Group | |
|
1470 E Gaston St Ste 300 Lincolnton NC 28092-4433 | |
| (704) 735-7474 | |
| (704) 735-8788 |
| Full Name | Fryecare Lincolnton Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1470 E Gaston St Ste 300, Lincolnton, North Carolina |
| Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fryecare Lincolnton Medical Group 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Fryecare Lincolnton Medical Group 1470 E Gaston St Ste 300 Lincolnton NC 28092-4433 Ph: (704) 735-7474 |
| NPI Number | 1154005965 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 8123397601 |
|---|---|
| Medicare Enrollment ID | O20230726002413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154005965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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