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401 W Decatur St Madison NC 27025-1913 | |
(336) 548-9618 | |
(336) 548-4877 |
Full Name | |
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Speciality | Family Medicine |
Location | 401 W Decatur St, Madison, North Carolina |
Authorized Official Name and Position | Donald Wilson Moore (OWNER) |
Authorized Official Contact | 3365489618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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401 W Decatur St Madison NC 27025-1913 Ph: (336) 548-9618 | 401 W Decatur St Madison NC 27025-1913 Ph: (336) 548-9618 |
NPI Number | 1548220882 |
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Provider Enumeration Date | 03/23/2006 |
Last Update Date | 01/11/2013 |
Identifier | Type | State | Issuer |
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1548220882 | NPI | - | NPPES |