Organization
MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM PURCELL-REID PA-C (OWNER)
(704) 857-8769
Entity
Organization
Contact information
Practice address
302 S MAIN ST, CHINA GROVE, NC 28023-2471
(704) 857-8769
(704) 857-8779
Mailing address
302 S MAIN ST, CHINA GROVE, NC 28023-2471
(704) 857-8769
(704) 857-8779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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