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DLP FRYE MEDICAL GROUP LLC NPI 1154005965


NPI Information

NPI: 1154005965
Provider Name: DLP FRYE MEDICAL GROUP LLC

Doing Business As: FRYECARE LINCOLNTON MEDICAL GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 34D0938988

Address:
1470 E GASTON ST STE 300
LINCOLNTON, NC
ZIP 28092
Phone: (704) 735-7474
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DLP FRYE MEDICAL GROUP LLC is a rural health clinic center in Lincolnton, NC. DLP FRYE MEDICAL GROUP LLC NPI is 1154005965. The provider is registered as an organization entity type.
The provider Is Doing Business As Fryecare Lincolnton Medical Group.

The provider's business location address is:

1470 E GASTON ST STE 300
LINCOLNTON, NC
ZIP 28092-433
Phone: (704) 735-7474
Fax: (704) 735-8788

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7208.

The CLIA number assigned to this NPI record is 34D0938988 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2023 and was last updated on 6/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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