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Organization
CAROLINA MERCY MEDICAL CLINIC PC
Active
Organization
CAROLINA MERCY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS S OKONKWO D.O (DIRECTOR)
(704) 867-8855
Entity
Organization
Contact information
Practice address
2101 W FRANKLIN BLVD, GASTONIA, NC 28052-1338
(704) 867-8855
(704) 867-1414
Mailing address
2101 W FRANKLIN BLVD, GASTONIA, NC 28052-1338
(704) 867-8855
(704) 867-1414
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
200100074
NC
Other
Enumeration date
12/07/2009
Last updated
02/05/2010
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