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Organization
PRESBYTERIAN REGIONAL HEALTHCARE CORPORATION
Active
Organization
PRESBYTERIAN REGIONAL HEALTHCARE CORPORATION
Active
Other names
South Point Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK EASTERLING (CREDENTIALING COORDINATOR)
(704) 384-9094
Entity
Organization
Contact information
Practice address
1220 SPRUCE ST, BELMONT, NC 28012-3370
(704) 825-5333
(704) 825-1751
Mailing address
1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1106
(704) 384-9679
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015H0
—
NC
Enumeration date
06/03/2006
Last updated
08/22/2020
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