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Organization

LONGEVITY CLINICAL LTC ASSOCIATES OF NORTH CAROLINA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID C WHYBREW (MARKET PRESIDENT, LHP OKLAHOMA)
(918) 859-5334
Entity
Organization

Contact information

Practice address
635 STATESVILLE BLVD, SALISBURY, NC 28144-2201
(704) 633-7390
Mailing address
11770 US 1 STE 101, PALM BEACH GARDENS, FL 33408-3000
(561) 444-0710

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QG0300X
Geriatric Medicine (Family Medicine) Physician
363LG0600X
Gerontology Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
03/23/2021
Last updated
03/23/2021
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