| Carolina Clinic For Health And Wellness Pa | |
|
2459 Emerald Pl Suite 102 Greenville NC 27834-5732 | |
| (252) 757-3939 | |
| Not Available |
| Full Name | Carolina Clinic For Health And Wellness Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2459 Emerald Pl, Greenville, North Carolina |
| Authorized Official Name and Position | Lee Surkin (PRESIDENT) |
| Authorized Official Contact | 2527573939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Clinic For Health And Wellness Pa 2459 Emerald Pl Suite 102 Greenville NC 27834-5732 Ph: (252) 757-3939 | Carolina Clinic For Health And Wellness Pa 2459 Emerald Pl Suite 102 Greenville NC 27834-5732 Ph: (252) 757-3939 |
| NPI Number | 1679998348 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 7810115631 |
|---|---|
| Medicare Enrollment ID | O20140820000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679998348 | NPI | - | NPPES |
| Provider Name | Gwendolyn Yn Knuckles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043253677 PECOS PAC ID: 6800882929 Enrollment ID: I20040423000531 |
| Provider Name | Shyamal K Mitra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467437079 PECOS PAC ID: 2860478120 Enrollment ID: I20040628000190 |
| Provider Name | Lee Alan Surkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093822421 PECOS PAC ID: 6406816164 Enrollment ID: I20041016000197 |
| Provider Name | Gary Christopher Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699732073 PECOS PAC ID: 3375592280 Enrollment ID: I20050118000934 |
| Provider Name | Donna B Rackley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801873583 PECOS PAC ID: 5395784276 Enrollment ID: I20050429000398 |
| Provider Name | William J Albrecht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528029022 PECOS PAC ID: 0941340129 Enrollment ID: I20091218000453 |
| Provider Name | Kimberly B Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841368552 PECOS PAC ID: 0143359828 Enrollment ID: I20100519000497 |
| Provider Name | Nell M Woodroffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780821835 PECOS PAC ID: 1759407877 Enrollment ID: I20100927000783 |
| Provider Name | Sandra M Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063573129 PECOS PAC ID: 1153625033 Enrollment ID: I20160215000069 |
| Provider Name | Jennifer Folden Bragaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366997603 PECOS PAC ID: 0749569606 Enrollment ID: I20161116002135 |
| Provider Name | Shaniqua Louann Mcgraw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346653011 PECOS PAC ID: 2961728431 Enrollment ID: I20171218003523 |
| Provider Name | Jean B Jourdan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588130884 PECOS PAC ID: 5496090151 Enrollment ID: I20181227001890 |
| Provider Name | Christine E Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306306030 PECOS PAC ID: 6103152541 Enrollment ID: I20190723003797 |
| Provider Name | Willeen Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760014476 PECOS PAC ID: 1759706617 Enrollment ID: I20200810001050 |
| Provider Name | Caleb Frett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861099574 PECOS PAC ID: 9931513538 Enrollment ID: I20210121002800 |
| Provider Name | Arlene Gardner-daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770292229 PECOS PAC ID: 1850764952 Enrollment ID: I20230309002314 |
| Provider Name | Tiara L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841985330 PECOS PAC ID: 9638531791 Enrollment ID: I20230822001067 |
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