| Aledade Care Solutions Of North Carolina Pc | |
|
201 W Main St Ste 100 Durham NC 27701-3228 | |
| (919) 324-0004 | |
| Not Available |
| Full Name | Aledade Care Solutions Of North Carolina Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 W Main St Ste 100, Durham, North Carolina |
| Authorized Official Name and Position | Robert Kocher (OWNER) |
| Authorized Official Contact | 6505619580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aledade Care Solutions Of North Carolina Pc 201 W Main St Ste 100 Durham NC 27701-3228 Ph: () - | Aledade Care Solutions Of North Carolina Pc 201 W Main St Ste 100 Durham NC 27701-3228 Ph: (919) 324-0004 |
| NPI Number | 1235883968 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 6103213194 |
|---|---|
| Medicare Enrollment ID | O20220421000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235883968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carol Annette Dubard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962577668 PECOS PAC ID: 5991833832 Enrollment ID: I20100513000326 |
| Provider Name | Tara A Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548342009 PECOS PAC ID: 3072514728 Enrollment ID: I20170202002053 |
| Provider Name | Laurie Mclean Shirey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215489968 PECOS PAC ID: 7113201583 Enrollment ID: I20170302001360 |
| Provider Name | Rhonda Rochelle Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124651104 PECOS PAC ID: 7012347065 Enrollment ID: I20200415002489 |
| Provider Name | Demetria Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912474511 PECOS PAC ID: 1951646033 Enrollment ID: I20211019003119 |
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