Sparta Road | |
77 Sparta Rd North Wilkesboro NC 28659-3133 | |
(404) 364-2900 | |
(404) 364-2901 |
Full Name | Sparta Road |
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Speciality | Community/behavioral Health |
Location | 77 Sparta Rd, North Wilkesboro, 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 |
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Sparta Road 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Sparta Road 77 Sparta Rd North Wilkesboro NC 28659-3133 Ph: (404) 364-2900 |
NPI Number | 1255752374 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 10/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255752374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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