Organization
FAMILY MEDICAL CARE OF ROWAN-SPENCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLYOD EMERY NICKERSON MD (OWNER MEDICAL DOCTOR)
(704) 633-7070
Entity
Organization
Contact information
Practice address
117 5TH ST, SPENCER, NC 28159-2125
(704) 639-9124
(704) 639-9717
Mailing address
300 N SALISBURY AVE, SPENCER, NC 28159-2514
(704) 633-7070
(704) 633-7627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014CE
—
NC
01
—
CK8333
RAILROAD MEDICARE
NC
Enumeration date
12/22/2005
Last updated
01/09/2008
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