Organization
CLECO PRIMARY CARE NETWORK
Active
Other names
CHERRYVILLE FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ROLLINS COOPER (EXECUTIVE DIRECTOR)
(704) 484-3647
Entity
Organization
Contact information
Practice address
600 W CHURCH ST, CHERRYVILLE, NC 28021-2863
(704) 435-4111
(704) 435-4113
Mailing address
101 GROVER ST, SHELBY, NC 28150
(704) 484-3647
(704) 471-2727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890159Q
—
NC
Enumeration date
01/20/2006
Last updated
08/31/2007
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