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1000 Medical Center Road Mamers NC 27552-0397 | |
(910) 893-3063 | |
(910) 897-2567 |
Full Name | |
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Speciality | Family Medicine |
Location | 1000 Medical Center Road, Mamers, North Carolina |
Authorized Official Name and Position | Sheila L Simmons (CEO) |
Authorized Official Contact | 9103640971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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40 Autumn Fern Trl Lillington NC 27546-5155 Ph: (910) 364-0971 | 1000 Medical Center Road Mamers NC 27552-0397 Ph: (910) 893-3063 |
NPI Number | 1881617850 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 05/03/2018 |
Identifier | Type | State | Issuer |
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1881617850 | NPI | - | NPPES |
344509A | Medicaid | NC | |
2804129 | Other | NC | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |