Organization
MEDICAL PRACTICE OF CONCORD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R MOGABGAB MD (BUSINESS OWNER)
(704) 262-7240
Entity
Organization
Contact information
Practice address
940 LEE ANN DR NE, CONCORD, NC 28025-2957
(704) 262-7240
(704) 262-7249
Mailing address
940 LEE ANN DR NE, CONCORD, NC 28025-2957
(704) 262-7240
(704) 262-7249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501609
NC
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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