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Organization
HOPSCOTCH PRIMARY CARE GROUP, PA
Active
Organization
HOPSCOTCH PRIMARY CARE GROUP, PA
Active
Other names
Hopscotch Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIRATH CHAU MD (CHIEF MEDICAL OFFICER)
(337) 860-4721
Entity
Organization
Contact information
Practice address
113 E GROVER ST, SHELBY, NC 28150-3803
(704) 487-5228
(704) 482-4284
Mailing address
113 E GROVER ST, SHELBY, NC 28150-3803
(704) 487-5228
(704) 482-4284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
305R00000X
Preferred Provider Organization
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126G9
—
NC
05
—
891282M
—
NC
05
—
8947300
—
NC
05
—
8947324
—
NC
Enumeration date
05/17/2007
Last updated
02/19/2025
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