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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