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Organization
ST LUKES PHYSICIAN NETWORK, INC.
Active
Organization
ST LUKES PHYSICIAN NETWORK, INC.
Active
Parent organization
ST LUKES PHYSICIAN NETWORK INC
Other names
Foothills Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES PHYSICIAN NETWORK INC
Authorized official
ELIZABETH WEATHERS PRESNELL (CFO)
(828) 894-0954
Entity
Organization
Contact information
Practice address
801 W MILLS ST, SUITE C, COLUMBUS, NC 28722-8494
(828) 894-5627
Mailing address
PO BOX 602527, CHARLOTTE, NC 28260-2527
(828) 894-5627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437452513
—
NC
05
—
5917245
—
NC
Enumeration date
12/13/2010
Last updated
01/11/2017
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