| |
310 N Main St Lexington NC 27292-3504 | |
(800) 848-0180 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 310 N Main St, Lexington, North Carolina |
Authorized Official Name and Position | Jennifer D Lozano (VP - FINANCIAL SERVICES) |
Authorized Official Contact | 4049682663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 310 N Main St Lexington NC 27292-3504 Ph: (800) 848-0180 |
NPI Number | 1376903021 |
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Provider Enumeration Date | 02/23/2016 |
Last Update Date | 02/01/2020 |
Certification Date | 02/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376903021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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