Organization
HOPSCOTCH PRIMARY CARE GROUP, PA
Active
Other names
Hopscotch Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIRATH CHAU MD (CHIEF MEDICAL OFFICER)
(337) 860-4721
Entity
Organization
Contact information
Practice address
113 E GROVER ST, SHELBY, NC 28150-3803
(704) 487-5228
(704) 482-4284
Mailing address
113 E GROVER ST, SHELBY, NC 28150-3803
(704) 487-5228
(704) 482-4284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126G9
—
NC
05
—
891282M
—
NC
05
—
8947300
—
NC
05
—
8947324
—
NC
Enumeration date
05/17/2007
Last updated
02/19/2025
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