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Organization
TALL OAKS FAMILY PRACTICE
Active
Organization
TALL OAKS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN B VANHOY P.A.C. (OWNER, PROVIDER)
(704) 658-0011
Entity
Organization
Contact information
Practice address
798 OAK RIDGE FARM RD., SUITE A, MOORESVILLE, NC 28115
(704) 658-0011
(704) 658-0012
Mailing address
798 OAK RIDGE FARM RD., SUITE A, MOORESVILLE, NC 28115
(704) 658-0011
(704) 658-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101555
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012NE
BCBS ID#
NC
05
—
89012NE
—
NC
05
—
891108X
—
NC
Enumeration date
03/17/2006
Last updated
05/04/2010
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