Organization
MAIN STREET FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH G HILL (OFFICE MANAGER)
(704) 857-8769
Entity
Organization
Contact information
Practice address
302 S MAIN STREET, CHINA GROVE, NC 28023
(704) 857-8769
(704) 857-8779
Mailing address
302 S MAIN STREET, CHINA GROVE, NC 28023
(704) 857-8769
(704) 857-8779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011UH
—
NC
Enumeration date
07/06/2005
Last updated
07/21/2022
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