| Carthage Family Care Pa | |
|
1001 Monroe St Carthage NC 28327-5008 | |
| (910) 947-3521 | |
| Not Available |
| Full Name | Carthage Family Care Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 Monroe St, Carthage, North Carolina |
| Authorized Official Name and Position | Marcia H Ballard (PRESIDENT) |
| Authorized Official Contact | 9109473521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carthage Family Care Pa 1001 Monroe St Carthage NC 28327-5008 Ph: (910) 947-3521 | Carthage Family Care Pa 1001 Monroe St Carthage NC 28327-5008 Ph: (910) 947-3521 |
| NPI Number | 1215322557 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 04/03/2015 |
| Medicare PECOS PAC ID | 8426369869 |
|---|---|
| Medicare Enrollment ID | O20150625001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215322557 | NPI | - | NPPES |
| 1558365403 | Other | NC | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 200816 (North Carolina) | Primary |
| Provider Name | Marcia H Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558365403 PECOS PAC ID: 1153458385 Enrollment ID: I20101129000553 |
| Provider Name | Leslie Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696150 PECOS PAC ID: 2961779657 Enrollment ID: I20170531001626 |
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