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613 E Roosevelt Blvd Monroe NC 28112-5124 | |
(704) 283-8193 | |
(704) 283-7252 |
Full Name | |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 613 E Roosevelt Blvd, Monroe, North Carolina |
Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 7043550648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60777 Charlotte NC 28260-0777 Ph: (704) 283-8193 | 613 E Roosevelt Blvd Monroe NC 28112-5124 Ph: (704) 283-8193 |
NPI Number | 1063421469 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 09/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063421469 | NPI | - | NPPES |
017C2 | Other | NC | BLUE CROSS - BLUE SHIELD |
5901850 | Medicaid | NC | |
7705293 | Other | NC | MEDICAID DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |