Dr Joseph R Pringle Jr, MD | |
908 S Williamson Ave, Elon, NC 27244-9280 | |
(336) 538-1234 | |
(336) 538-2390 |
Full Name | Dr Joseph R Pringle Jr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 908 S Williamson Ave, Elon, 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 |
---|---|---|---|
1568489441 | NPI | - | NPPES |
8969234 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21434 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph R Pringle Jr, MD Po Box 1717, Burlington, NC 27216-1717 Ph: (336) 538-1234 | Dr Joseph R Pringle Jr, MD 908 S Williamson Ave, Elon, NC 27244-9280 Ph: (336) 538-1234 |
Adriana Cline, Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 919-966-4468 | |
Dr. Marcia Liliana Moran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2416 Fax: 336-584-6811 | |
Rita M Phiri- Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-2416 | |
Dr. Jasna S. Nogo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-1234 Fax: 336-584-6811 | |
Suzanne Elizabeth Dvergsten, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2516 Fax: 336-584-6811 | |
Dalia Atef Khalifa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2416 Fax: 336-584-6811 |