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Indian Trail Medical Clinic, Inc.
Specialist in Indian Trail, North Carolina
NPI 1790823672

Indian Trail Medical Clinic, Inc. is a Specialist based in Indian Trail, NC. Indian Trail Medical Clinic, Inc. practices in Indian Trail, NC. The NPI Number for Indian Trail Medical Clinic, Inc. is 1790823672 and holds a License No. 22284 (North Carolina).

The current practice location address for Indian Trail Medical Clinic, Inc. is 301 S. Indian Trail Road, Indian Trail, NC and can be reached out via phone at 704-821-7056 and via fax at 704-821-7057.

Location: 301 S. Indian Trail Road, Indian Trail, NC, 28079-0430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790823672
Provider Name
Indian Trail Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
301 S. Indian Trail Road, Indian Trail, NC, 28079-0430
Phone Number
704-821-7056
Fax Number
704-821-7057
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
8901856 05 NC
01856 01 NC BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
301 S. Indian Trail Road
City
Indian Trail
State
North Carolina
Zip
28079
Phone Number
704-821-7056
Fax Number
704-821-7057
person
Provider Business Mailing Address Details
Address
301 S. Indian Trail Road
City
Indian Trail
State
North Carolina
Zip
28079
Phone Number
704-821-7056
Fax Number
704-821-7057
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22284 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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