Main Street Family Practice Of China Grove Pc

LBN: Main Street Family Practice Of China Grove Pc
Main Street Family Practice Of China Grove Pc is an health care organization with primary practice located at 302 S Main St , China Grove NC 28023-2471. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Main Street Family Practice Of China Grove Pc can be contacted via phone (704) 857-8769, or through Purcell-Reid, Kim via phone (704) 857-8769.

Contact Information

Primary practice address
302 S Main St China Grove NC 28023-2471
Fax: (704) 857-8779
Website:
Authorized official contact:
Name: Purcell-Reid, Kim Physician's Assistant Certified (PA-C)

Health care specialties

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

Profile Details

NPI number 1619279247
LBN Legal business name Main Street Family Practice Of China Grove Pc
DBA Doing business as
Authorized official Purcell-Reid, Kim Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2010
Last updated Dec 2nd, 2010 - about 15 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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