Organization
DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Active
Other names
FRYECARE URGENT CARE - CONOVER
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1105 FAIRGROVE CHURCH RD SE, CONOVER, NC 28613-9090
(615) 920-7000
Mailing address
1105 FAIRGROVE CHURCH RD SE, CONOVER, NC 28613-9090
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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