Individual
KIM MORGAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 JULIAN RD, SALISBURY, NC 28147-9078
(704) 637-3373
(704) 637-0069
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 637-3373
(704) 637-0069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12789
BLUE CROSS BLUE SHIELD NC
NC
05
—
8912789
—
NC
Enumeration date
08/03/2005
Last updated
10/28/2020
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