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Organization
STATESVILLE PRIMARY CARE PLLC
Active
Organization
STATESVILLE PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT J VIZEL MD (CLINICAL DIRECTOR)
(704) 924-9423
Entity
Organization
Contact information
Practice address
708 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 924-9423
Mailing address
3308 PRESTON RD, SUIITE 350-165, PLANO, TX 75093-7453
(704) 924-9423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9600416
NC
Other
Enumeration date
02/20/2007
Last updated
07/15/2011
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