| |
501 S Poplar St Elizabethtown NC 28337-9375 | |
(910) 862-5179 | |
(910) 862-5129 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 501 S Poplar St, Elizabethtown, North Carolina |
Authorized Official Name and Position | David Masterson (CEO) |
Authorized Official Contact | 9108625178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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501 S Poplar St Elizabethtown NC 28337-9375 Ph: (910) 862-5179 | 501 S Poplar St Elizabethtown NC 28337-9375 Ph: (910) 862-5179 |
NPI Number | 1750557237 |
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Provider Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750557237 | NPI | - | NPPES |
8907624 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | H0154 (North Carolina) | Primary |
The Man Cave Testosterone And Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 W Broad St, Elizabethtown, NC 28337 Phone: 910-801-0600 | |
Above & Beyond Wellness - Bladen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S Craig St, Elizabethtown, NC 28337 Phone: 910-991-3060 Fax: 910-226-7566 | |