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Organization
NORTH MECKLENBURG FAMILY PRACTICE GROUP PA
Active
Organization
NORTH MECKLENBURG FAMILY PRACTICE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME HOWARD MD (MD PRESIDENT)
(704) 596-5067
Entity
Organization
Contact information
Practice address
6111 RUMPLE RD, CHARLOTTE, NC 28262
(704) 596-5067
(704) 599-9458
Mailing address
6111 RUMPLE RD, CHARLOTTE, NC 28262
(704) 596-5067
(704) 599-9458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NC18523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44170
BCBS
NC
Enumeration date
09/26/2006
Last updated
07/09/2010
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