South Point Family Practice

LBN: Caromont- South Point Llc
South Point Family Practice is an health care organization with primary practice located at 1220 Spruce St , Belmont NC 28012-3370. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Caromont- South Point Llc can be contacted via phone (704) 825-5333, or through Luckett, Douglas via phone (704) 834-2133.

Contact Information

Primary practice address
1220 Spruce St Belmont NC 28012-3370
Phone: (704) 825-5333
Fax: (704) 825-1751
Website:
Map and Directions
Authorized official contact:
Name: Luckett, Douglas
Phone: (704) 834-2133

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1609057629
LBN Legal business name Caromont- South Point Llc
DBA Doing business as South Point Family Practice
Authorized official Luckett, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Jun 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609057629 NPPES
North Carolina MEDICAID 5905651

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