Organization · Type 2 NPI

Mooresville PPM LLC

Family Medicine Physician · Mooresville, NC

NPI number 1861769119 Active

Practice location

202 Williamson Rd, Suite 100
Mooresville, NC 28117-7610

Call (704) 799-7811 Map

Fax (704) 799-7812

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Mooresville

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NPI record

NPI: 1861769119
Entity type: Organization (Type 2)
Issued: Nov 30, 2011
Last updated: Jan 14, 2022
Status: Active
Subpart: Yes of Mooresville PPM LLC

Other names

<unavail>
Primary Care Associates of Lake Norman · doing business as
Primary Care Associates of Lake Norman · doing business as

Authorized official

Mrs. Jennifer L Jackson
SR Dir Prov Enrollment & Onboarding
(615) 465-3334

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861769119

Mooresville PPM LLC's National Provider Identifier is 1861769119, issued on Nov 30, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mooresville, NC. The record was last updated on Jan 14, 2022.