| Main Street Family Practice Pc | |
|
302 S Main Street China Grove NC 28023 | |
| (704) 857-8769 | |
| (704) 857-8779 |
| Full Name | Main Street Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 302 S Main Street, China Grove, North Carolina |
| Authorized Official Name and Position | Elizabeth G Hill (OFFICE MANAGER) |
| Authorized Official Contact | 7048578769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Practice Pc 302 S Main Street China Grove NC 28023 Ph: (704) 857-8769 | Main Street Family Practice Pc 302 S Main Street China Grove NC 28023 Ph: (704) 857-8769 |
| NPI Number | 1760489629 |
|---|---|
| Provider Enumeration Date | 07/06/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760489629 | NPI | - | NPPES |
| 89011UH | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
China Grove Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 E Thom St, China Grove, NC 28023 Phone: 704-792-2245 Fax: 704-792-2250 | |
Main Street Family Practice Of China Grove Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 S Main St, China Grove, NC 28023 Phone: 704-857-8769 Fax: 704-857-8779 | |
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