Life Enhancement Medical Services Pllc
NPI #1124046198 in Statesville, North Carolina
Provider Information
- NPI Number
- 1124046198
- Entity Type
- Organization
- Organization Name
- Life Enhancement Medical Services Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 190 COMMERCE BLVD
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28625-8526
- Phone
- (704) 838-0516
Authorized Official
- Name
- RICHARD PAVELOCK, MD
- Title
- OWNER
- Phone
- (704) 838-0516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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