| Carolina Family Care, P.a. | |
|
707 W King St Kings Mountain NC 28086-2707 | |
| (704) 734-0001 | |
| Not Available |
| Full Name | Carolina Family Care, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 707 W King St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Deepak Ramchandra Gelot (PRESIDENT) |
| Authorized Official Contact | 7047340001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Care, P.a. 707 W King St Kings Mountain NC 28086-2707 Ph: (704) 734-0001 | Carolina Family Care, P.a. 707 W King St Kings Mountain NC 28086-2707 Ph: (704) 734-0001 |
| NPI Number | 1295806305 |
|---|---|
| Provider Enumeration Date | 11/11/2006 |
| Last Update Date | 11/20/2007 |
| Medicare PECOS PAC ID | 2668555053 |
|---|---|
| Medicare Enrollment ID | O20080207000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295806305 | NPI | - | NPPES |
| 890218M | Medicaid | NC | |
| 0218M | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
| Provider Name | Deepak R Gelot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124199229 PECOS PAC ID: 1850474248 Enrollment ID: I20080207000667 |
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