Thomas Michael Kelley Jr, | |
2817 Reilly St, Fort Bragg, NC 28310-7324 | |
(910) 907-7624 | |
Not Available |
Full Name | Thomas Michael Kelley Jr |
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Gender | Male |
Speciality | Surgery |
Location | 2817 Reilly St, Fort Bragg, 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 |
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1154736437 | NPI | - | NPPES |
Entity Name | Scotland Memorial Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033103767 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
Entity Name | Pinehurst Surgical Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962434324 PECOS PAC ID: 4587561394 Enrollment ID: O20031218000239 |
Mailing Address | Practice Location Address |
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Thomas Michael Kelley Jr, 2817 Reilly St, Fort Bragg, NC 28310-7324 Ph: () - | Thomas Michael Kelley Jr, 2817 Reilly St, Fort Bragg, NC 28310-7324 Ph: (910) 907-7624 |
Mr. Adam Randolph Pattyn, DO Surgery Medicare: Medicare Enrolled Practice Location: Womack Army Hospital 2817 Reilly Road, Fort Bragg, NC 28310 Phone: 910-907-2410 | |
Elizabeth A Miller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-6000 | |
Dr. Simon Hovannes Telian, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310 Phone: 910-907-6053 | |
Dr. Brenda Judith Alcover-ballard, MD Surgery Medicare: Medicare Enrolled Practice Location: General Surgery Clinic, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-7486 Fax: 910-907-7935 |