Full Name | |
---|---|
Speciality | Family Medicine |
Location | 117 5th St, Spencer, North Carolina |
Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT - OPERATIONS) |
Authorized Official Contact | 7043550648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 602120 Charlotte NC 28260-2120 Ph: (704) 639-9124 | 117 5th St Spencer NC 28159-2125 Ph: (704) 639-9124 |
NPI Number | 1831320746 |
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Provider Enumeration Date | 07/28/2009 |
Last Update Date | 07/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831320746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Medical Care Of Rowan-spencer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 5th St, Spencer, NC 28159 Phone: 704-639-9124 Fax: 704-639-9717 | |