| Mooresville Ppm Llc | |
| 
					157 Professional Park Dr Suite A Mooresville NC 28117-5605  | |
| (704) 662-3967 | |
| (704) 662-3975 | 
| Full Name | Mooresville Ppm Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 157 Professional Park Dr, Mooresville, North Carolina | 
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) | 
| Authorized Official Contact | 6154653334 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mooresville Ppm Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7000  | Mooresville Ppm Llc 157 Professional Park Dr Suite A Mooresville NC 28117-5605 Ph: (704) 662-3967  | 
| NPI Number | 1912287467 | 
|---|---|
| Provider Enumeration Date | 08/27/2011 | 
| Last Update Date | 01/14/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912287467 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
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Wellcomemd Nc Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Kilson Dr Ste 201, Mooresville, NC 28117 Phone: 704-444-0999 Fax: 980-498-7007  | |
Greenbrook Tms Mooresville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Plantation Ridge Dr Ste 150, Mooresville, NC 28117 Phone: 855-910-4867 Fax: 855-920-4867  | |
Premise Health Of North Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lowes Blvd, Mooresville, NC 28117 Phone: 704-758-2000 Fax: 704-757-0510  | |
Iredell Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Brawley School Rd, Suite C, Mooresville, NC 28117 Phone: 704-360-9310  | |
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