| Appalachian Family Practice, Pa | |
|
1879 Old 421 South Boone NC 28607-6293 | |
| (828) 262-1011 | |
| (828) 262-5695 |
| Full Name | Appalachian Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1879 Old 421 South, Boone, North Carolina |
| Authorized Official Name and Position | Timothy P Dailey (OWNER) |
| Authorized Official Contact | 8282621011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Family Practice, Pa 1879 Old 421 South Boone NC 28607-6293 Ph: (828) 262-1011 | Appalachian Family Practice, Pa 1879 Old 421 South Boone NC 28607-6293 Ph: (828) 262-1011 |
| NPI Number | 1609889328 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 2264476100 |
|---|---|
| Medicare Enrollment ID | O20050613000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609889328 | NPI | - | NPPES |
| 135VG | Other | NC | BCBS |
| 89135VG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy P Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164432399 PECOS PAC ID: 1850280785 Enrollment ID: I20040310001506 |
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