Maxwell O Mercer, | |
1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | |
(704) 933-3212 | |
(704) 933-3221 |
Full Name | Maxwell O Mercer |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 1309 S Cannon Blvd, Kannapolis, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285985606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Maxwell O Mercer, 284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 Ph: (704) 939-1100 | Maxwell O Mercer, 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 Ph: (704) 933-3212 |
Becky Yarbrough Norman, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 984 Cloverleaf Plz, Kannapolis, NC 28083 Phone: 704-721-5553 | |
Larry Keever, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-933-3212 Fax: 704-933-3221 | |
Maryalice O Garrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 | |
Ty Kays, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 West Ave, Kannapolis, NC 28081 Phone: 757-943-0694 Fax: 866-828-5520 | |
Jennifer Lindley, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 S Main St, Kannapolis, NC 28081 Phone: 704-630-6634 | |
Kathleen E O'neil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 | |
Donzella Bigelow Crawford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-933-3212 |