Organization
LONGEVITY CLINICAL LTC ASSOCIATES OF NORTH CAROLINA PLLC
Active
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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