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1124621198
LAKE NORMAN BARIATRICS
MOORESVILLE, NC
NPI
1124621198
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Entity Type
Organization
Authorized Contact
TIMOTHY RYAN HEIDER
Surgeon
704-402-2506
Organization Subpart ?
No
Primary Taxonomy
3336C0002X Pharmacy, Clinic Pharmacy
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
LAKE NORMAN BARIATRICS
108 ALEXANDER BANK DR SUITE 200
MOORESVILLE, NC 28117
Phone number: 704-660-4584
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Mailing Address
LAKE NORMAN BARIATRICS
108 ALEXANDER BANK DR SUITE 232
MOORESVILLE, NC 28117
Phone number: 704-660-4584
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