Association Of Goodfellows | |
310 Ebony Rd Littleton NC 28590 | |
(252) 586-4867 | |
(252) 586-4867 |
Full Name | Association Of Goodfellows |
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Speciality | Clinic/center |
Location | 310 Ebony Rd, Littleton, North Carolina |
Authorized Official Name and Position | Alphonso Cherry (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 2523777081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Association Of Goodfellows Po Box 506 Aulander NC 27805 Ph: (252) 377-7081 | Association Of Goodfellows 310 Ebony Rd Littleton NC 28590 Ph: (252) 586-4867 |
NPI Number | 1629308572 |
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Provider Enumeration Date | 12/28/2009 |
Last Update Date | 12/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629308572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | FCL093010 (North Carolina) | Primary |
Littleton Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Elams Rd, Littleton, NC 27850 Phone: 252-586-4923 Fax: 252-586-9809 |