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Organization
AGAPE FAMILY MEDICINE & PEDIATRICS, P.A.
Active
Organization
AGAPE FAMILY MEDICINE & PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOWARD BRIDGES MD (OWNER)
(828) 994-0990
Entity
Organization
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(828) 994-0990
Mailing address
4926 BROOKRIDGE DR NE, HICKORY, NC 28601-8791
(828) 994-0990
(828) 994-0995
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
9600463
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18280
BCBS
NC
05
—
8918280
—
NC
Enumeration date
05/04/2007
Last updated
08/22/2020
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