Charles Middleton, MD | |
101 Clinic Dr, Tarboro, NC 27886-1935 | |
(252) 823-2105 | |
Not Available |
Full Name | Charles Middleton |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 101 Clinic Dr, Tarboro, 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 |
---|---|---|---|
1437139748 | NPI | - | NPPES |
552962 | Other | NC | UNITED HEALTHCARE |
89138RA | Medicaid | NC | |
D9175 | Other | NC | MEDCOST |
138RA | Other | NC | BCBS |
4286012 | Other | NC | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
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Charles Middleton, MD 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 | Charles Middleton, MD 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 |
Dr. Bradford Karsten Bilicki, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 | |
Raghid Bitar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Drive, Tarboro, NC 27886 Phone: 252-823-2105 | |
Mark Petruzziello, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 |