Everyday Courage, Pc | |
2193 5th St Ne Hickory NC 28601-1503 | |
(828) 291-6002 | |
(888) 315-0298 |
Full Name | Everyday Courage, Pc |
---|---|
Speciality | Social Worker |
Location | 2193 5th St Ne, Hickory, North Carolina |
Authorized Official Name and Position | Suzanne Lawrimore (OWNER) |
Authorized Official Contact | 8282916002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Everyday Courage, Pc 2193 5th St Ne Hickory NC 28601-1503 Ph: (828) 291-6002 | Everyday Courage, Pc 2193 5th St Ne Hickory NC 28601-1503 Ph: (828) 291-6002 |
NPI Number | 1386812576 |
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Provider Enumeration Date | 02/11/2008 |
Last Update Date | 06/26/2020 |
Certification Date | 06/26/2020 |
Medicare PECOS PAC ID | 8426282740 |
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Medicare Enrollment ID | O20130927000551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386812576 | NPI | - | NPPES |
6005173 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | COO1305 (North Carolina) | Primary |
Provider Name | Suzanne S Lawrimore |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154301562 PECOS PAC ID: 3577701853 Enrollment ID: I20130528000352 |
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