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Organization
MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
Active
Organization
MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM PURCELL-REID PA-C (OWNER)
(704) 857-8769
Entity
Organization
Contact information
Practice address
302 S MAIN ST, CHINA GROVE, NC 28023-2471
(704) 857-8769
(704) 857-8779
Mailing address
302 S MAIN ST, CHINA GROVE, NC 28023-2471
(704) 857-8769
(704) 857-8779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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