247 Kid Doc | |
3304 Stonesthrow Dr Newton NC 28658-8883 | |
(844) 303-8006 | |
Not Available |
Full Name | 247 Kid Doc |
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Speciality | Clinic/center - Primary Care |
Location | 3304 Stonesthrow Dr, Newton, North Carolina |
Authorized Official Name and Position | Timothy Bain Shannon (PRESIDENT) |
Authorized Official Contact | 8443038006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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247 Kid Doc 3304 Stonesthrow Dr Newton NC 28658-8883 Ph: (844) 303-8006 | 247 Kid Doc 3304 Stonesthrow Dr Newton NC 28658-8883 Ph: (844) 303-8006 |
NPI Number | 1073063459 |
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Provider Enumeration Date | 10/10/2016 |
Last Update Date | 10/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073063459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2016-02169 (North Carolina) | Primary |
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