| Cardinal Clinic Llc | |
|
160 Pinehurst Ave Ste J Southern Pines NC 28387-7078 | |
| (910) 693-7777 | |
| (910) 693-1524 |
| Full Name | Cardinal Clinic Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 Pinehurst Ave Ste J, Southern Pines, North Carolina |
| Authorized Official Name and Position | Tony Garcia (QM COORDINATOR) |
| Authorized Official Contact | 9108640187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Clinic Llc 1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 Ph: (910) 867-8889 | Cardinal Clinic Llc 160 Pinehurst Ave Ste J Southern Pines NC 28387-7078 Ph: (910) 693-7777 |
| NPI Number | 1932263720 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932263720 | NPI | - | NPPES |
| 8300367 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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