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Organization
CABARRUS FAMILY MEDICINE
Active
Organization
CABARRUS FAMILY MEDICINE
Active
Other names
Psychologival and Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN M HAWKINS (CFO)
(704) 721-2062
Entity
Organization
Contact information
Practice address
270 COPPERFIELD BLVD NE, SUITE 10, CONCORD, NC 28025-2441
(704) 721-7430
(704) 721-7431
Mailing address
270 COPPERFIELD BLVD NE, SUITE 10, CONCORD, NC 28025-2441
(704) 721-7430
(704) 721-7431
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017MT
BCBS
NC
05
—
6005150
—
NC
Enumeration date
01/08/2008
Last updated
01/08/2008
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