# ANSONVILLE PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164762506
- **Authorized official:** DR. FREDRIC ARLEN BURNEY M.D. (PARTNER)
- **Authorized official phone:** (704) 826-8370

## Contact information

- **Practice address:** 9191 HWY 52 NORTH, ANSONVILLE, NC 28007
- **Practice address phone:** (704) 826-8370
- **Practice address fax:** (704) 826-8016
- **Mailing address:** PO BOX 496, ANSONVILLE, NC 28007-0496
- **Mailing address phone:** (704) 826-8370
- **Mailing address fax:** (704) 826-8016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 02/21/2013