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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH PARK MEDICAL CLINIC PA

Active Organization

Family Medicine · HICKORY, NC

Registration Details

NPI Number
1083614564
Provider Type
Organization
NPI Issued
Jul 27, 2005 (20.736003720478 yrs)
Last Updated
Aug 22, 2020
License
21863 (NC)

Practice Information

Address
133 1ST AVE SE
HICKORY, NC, 286023005
Browse NC providers · Browse ZIP 28602
Phone
8283225915
Fax
8283450387
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.