Clark E Pritts, DO | |
5145 Sellers Rd, Shallotte, NC 28470-3405 | |
(910) 754-4441 | |
(910) 754-5307 |
Full Name | Clark E Pritts |
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Gender | Male |
Speciality | Family Medicine |
Location | 5145 Sellers Rd, Shallotte, 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 |
---|---|---|---|
1104814946 | NPI | - | NPPES |
141H5 | Other | NC | BCBS OF NC |
5903932 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101009995 (Michigan) | Secondary |
207Q00000X | Family Medicine | 200401306 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304 |
Mailing Address | Practice Location Address |
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Clark E Pritts, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: (910) 754-4441 | Clark E Pritts, DO 5145 Sellers Rd, Shallotte, NC 28470-3405 Ph: (910) 754-4441 |
Christopher Brian Isenhour, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Jonathan Lawrence Langston, PAC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Shallotte Medical Center Inc, 341a Whiteville Rd, Shallotte, NC 28470 Phone: 910-754-8731 Fax: 910-754-3153 | |
Angela Renee Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Dr. Jarrod Thomas Sheatsley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
David Chadwick Weston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Daniel Crawford Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 |