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Organization

HOPE FAMILY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH DOUGLAS SHANK DO (OWNER)
(704) 438-6389
Entity
Organization

Contact information

Practice address
929 N 2ND ST, SUITE 201, ALBEMARLE, NC 28001-3363
(704) 438-6389
Mailing address
PO BOX 984, ALBEMARLE, NC 28002-0984

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210353
NC

Other

Enumeration date
06/11/2015
Last updated
10/05/2015
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