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7540 Highway 64 W Brasstown NC 28902-8079 | |
(828) 837-5335 | |
(214) 550-2638 |
Full Name | |
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Speciality | Clinic/Center |
Location | 7540 Highway 64 W, Brasstown, North Carolina |
Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
Authorized Official Contact | 2143793300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3398 | 7540 Highway 64 W Brasstown NC 28902-8079 Ph: (828) 837-5335 |
NPI Number | 1841788510 |
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Provider Enumeration Date | 04/27/2018 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Medicare PECOS PAC ID | 3971938333 |
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Medicare Enrollment ID | O20200114001081 |
Identifier | Type | State | Issuer |
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1841788510 | NPI | - | NPPES |