Organization
CMC NORTHEAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKQUELYN HARVE (RESIDENCY COORDINATOR)
(704) 721-2063
Entity
Organization
Contact information
Practice address
270 COPPERFIELD BLVD NE, SUITE 202, CONCORD, NC 28025-2441
(704) 721-2063
Mailing address
PO BOX 129, MACON, NC 27551-0129
(252) 767-8877
(252) 257-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
05/15/2010
Last updated
05/19/2010
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