Carolina Mercy Medical Clinic Pc | |
2101 W Franklin Blvd Gastonia NC 28052-1338 | |
(704) 867-8855 | |
(704) 867-1414 |
Full Name | Carolina Mercy Medical Clinic Pc |
---|---|
Speciality | Clinic/Center |
Location | 2101 W Franklin Blvd, Gastonia, North Carolina |
Authorized Official Name and Position | Cornelius S Okonkwo (DIRECTOR) |
Authorized Official Contact | 7048678855 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carolina Mercy Medical Clinic Pc 2101 W Franklin Blvd Gastonia NC 28052-1338 Ph: (704) 867-8855 | Carolina Mercy Medical Clinic Pc 2101 W Franklin Blvd Gastonia NC 28052-1338 Ph: (704) 867-8855 |
NPI Number | 1104154988 |
---|---|
Provider Enumeration Date | 12/07/2009 |
Last Update Date | 02/05/2010 |
Medicare PECOS PAC ID | 5395888192 |
---|---|
Medicare Enrollment ID | O20100202000492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104154988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 200100074 (North Carolina) | Primary |
Provider Name | Cornelius S Okonkwo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134235369 PECOS PAC ID: 3678616471 Enrollment ID: I20100202000480 |
Vance Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3624 Easthampton Dr, Gastonia, NC 28056 Phone: 704-564-1312 Fax: 310-348-0201 | |
Gastonia Medical Specialty Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 X Ray Dr, Gastonia, NC 28054 Phone: 704-867-2341 Fax: 704-867-9019 | |
Shaped Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Remount Rd Ste E-105, Gastonia, NC 28054 Phone: 704-931-8286 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Stowe Rd, Gastonia, NC 28056 Phone: 704-836-9112 Fax: 704-824-4715 | |
Southern Pulmonary Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cox Rd, Ste B, Gastonia, NC 28054 Phone: 704-868-3411 Fax: 704-865-9722 | |