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NPI Profile for LONGEVITY CLINICAL LTC ASSOCIATES OF NORTH CAROLINA PLLC in SALISBURY, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1154907855 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/23/2021 | |
| Last updated | 03/23/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LONGEVITY CLINICAL LTC ASSOCIATES OF NORTH CAROLINA PLLC
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| RAEGAN J SWARINGEN, FNP 611 MOCKSVILLE AVE SALISBURY, NC |
| MEGAN B JOHNSTON, AGPCNP-C 911 W HENDERSON ST STE 120 SALISBURY, NC |
| MARK C MAYNARD, FNP 125 W ROBIN DR ADVANCE, NC |
| AMBER HICKS THIBODEAU 798 OAK RIDGE FARM HWY. SUITE A MOORESVILLE, NC |
| FELIZARDO H MANGUNDAYAO, MD 292 SOUTH MAIN ST. DENTON, NC |
| CRAIG J WHITE, MD 104 KNOX COURT DAVIDSON, NC |
| CECILIA KAECHELE, NP 557 BROOKDALE DR STATESVILLE, NC |
| EMILY M NABORS, MD 142 PROFESSIONAL PARK DR STE 300 MOORESVILLE, NC |
| ELIZABETH F SKIDMORE, MD 201 W HOLLY HILL RD THOMASVILLE, NC |
| HARESH M KATHARD, MD 207 OLD LEXINGTON ROAD THOMASVILLE, NC |
LONGEVITY CLINICAL LTC ASSOCIATES OF NORTH CAROLINA PLLC