Organization
LEGACY HEALTH PA
Active
Organization
LEGACY HEALTH PA
Active
Other names
Legacy Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JERBY MD (LEAD PHYSICIAN)
(980) 339-5155
Entity
Organization
Contact information
Practice address
3049 SENNA DR, MATTHEWS, NC 28105-6727
(980) 339-5155
(980) 216-8522
Mailing address
3049 SENNA DR, MATTHEWS, NC 28105-6727
(980) 339-5155
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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