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Organization
MOUNTAIN ISLAND FAMILY MEDICINE, PC
Active
Organization
MOUNTAIN ISLAND FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON R BAILEY MD (PRESIDENT)
(704) 399-1415
Entity
Organization
Contact information
Practice address
10226 COULOAK DR, SUITE 110, CHARLOTTE, NC 28216-7675
(704) 399-1415
(704) 399-1415
Mailing address
10226 COULOAK DR, SUITE 110, CHARLOTTE, NC 28216-7675
(704) 399-1415
(704) 399-1415
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
125435
NC
Other
Enumeration date
08/16/2007
Last updated
02/02/2011
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