Annville Family Medicine, Pc | |
475 N Weaber St Annville PA 17003-1104 | |
(717) 867-4671 | |
Not Available |
Full Name | Annville Family Medicine, Pc |
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Speciality | Family Medicine |
Location | 475 N Weaber St, Annville, Pennsylvania |
Authorized Official Name and Position | Velma A Nickliss (OFFICE MANAGER) |
Authorized Official Contact | 7178674671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Annville Family Medicine, Pc 475 N Weaber St Annville PA 17003-1104 Ph: (717) 867-4671 | Annville Family Medicine, Pc 475 N Weaber St Annville PA 17003-1104 Ph: (717) 867-4671 |
NPI Number | 1477532653 |
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Provider Enumeration Date | 01/16/2006 |
Last Update Date | 12/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477532653 | NPI | - | NPPES |
100935901 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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