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220 E 1st Ave Ext. Rms 100 - 123 Lexington NC 27292-3317 | |
| (336) 242-2406 | |
| (336) 242-2405 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 E 1st Ave, Lexington, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 220 E 1st Ave Ext. Rms 100 - 123 Lexington NC 27292-3317 Ph: (336) 242-2406 |
| NPI Number | 1396033304 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 09/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396033304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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