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1356078661
NEXTGEN MEDICAL LLC
FORT MILL, SC
NPI
1356078661
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Entity Type
Organization
Authorized Contact
CLAUDIA MOULDEN
Co Owner/ Np
803-992-5864
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
NEXTGEN MEDICAL LLC
8180 REGENT PKWY STE 109
FORT MILL, SC 29715-8417
Phone number: 803-992-5864
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Mailing Address
NEXTGEN MEDICAL LLC
3423 SHADY COVE CT
BELMONT, NC 28012-9581
Phone number: 716-868-9329
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