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800 Tilghman Dr Dunn NC 28334-5510 | |
| (910) 892-1000 | |
| (910) 891-6032 |
| Full Name | |
|---|---|
| Speciality | Hospitalist |
| Location | 800 Tilghman Dr, Dunn, North Carolina |
| Authorized Official Name and Position | Kenneth E Bryan (PRESIDENT CEO) |
| Authorized Official Contact | 9108921000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 600078 Raleigh NC 27675-6078 Ph: (910) 892-1000 | 800 Tilghman Dr Dunn NC 28334-5510 Ph: (910) 892-1000 |
| NPI Number | 1598761058 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598761058 | NPI | - | NPPES |
| 2351443C | Other | NC | MEDICARE - PROFEE GROUP # |
| 07683 | Other | NC | BCBS PROFESSIONAL |
| 8907683 | Other | NC | MEDICAID-PROFEE GROUP # |
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