Burlington Medical Center Pllc | |
2921 Crouse Ln Burlington NC 27215-8833 | |
(336) 585-1212 | |
(336) 585-1112 |
Full Name | Burlington Medical Center Pllc |
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Speciality | Clinic/center - Multi-specialty |
Location | 2921 Crouse Ln, Burlington, North Carolina |
Authorized Official Name and Position | Shamil J. Morayati (SOLE MEMBER) |
Authorized Official Contact | 3365851212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burlington Medical Center Pllc 2921 Crouse Ln Burlington NC 27215-8833 Ph: (336) 585-1212 | Burlington Medical Center Pllc 2921 Crouse Ln Burlington NC 27215-8833 Ph: (336) 585-1212 |
NPI Number | 1902198146 |
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Provider Enumeration Date | 05/06/2011 |
Last Update Date | 05/06/2011 |
Identifier | Type | State | Issuer |
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1902198146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 168650 (North Carolina) | Primary |
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