| Life Enhancement Medical Services Pllc | |
|
190 Commerce Blvd Statesville NC 28625-8526 | |
| (704) 838-0516 | |
| (704) 838-0565 |
| Full Name | Life Enhancement Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 190 Commerce Blvd, Statesville, North Carolina |
| Authorized Official Name and Position | Richard Pavelock (OWNER) |
| Authorized Official Contact | 7048380516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Medical Services Pllc 2632 Fines Creek Dr Statesville NC 28625-4441 Ph: (704) 838-0516 | Life Enhancement Medical Services Pllc 190 Commerce Blvd Statesville NC 28625-8526 Ph: (704) 838-0516 |
| NPI Number | 1124046198 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124046198 | NPI | - | NPPES |
| 5904288 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Brookdale Dr, Statesville, NC 28677 Phone: 704-838-8249 Fax: 704-495-3057 | |
Nuvu Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Sullivan Rd, Statesville, NC 28677 Phone: 980-434-5426 | |
Sound Physicians Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 Fax: 704-838-7287 | |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 Fax: 704-872-2484 | |
Statesville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Davie Ave, Statesville, NC 28677 Phone: 704-873-3269 Fax: 704-871-8159 | |
Cuong Tan Doan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 800-409-2919 | |
Statesville Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 E Broad St Ste B, Statesville, NC 28625 Phone: 704-253-4085 Fax: 704-253-4085 |