Main Street Family Practice of China Grove PC
NPI #1619279247 in China Grove, North Carolina
Provider Information
- NPI Number
- 1619279247
- Entity Type
- Organization
- Organization Name
- Main Street Family Practice of China Grove PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 2, 2010
- Last Updated
- Dec 2, 2010
Practice Location
- Address
- 302 S MAIN ST
- City
- China Grove
- State
- North Carolina
- ZIP Code
- 28023-2471
- Phone
- (704) 857-8769
Authorized Official
- Name
- MS. KIM PURCELL-REID, PA-C
- Title
- OWNER
- Phone
- (704) 857-8769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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