Charles S Watras Md Pllc | |
3765 E Us 64 Alt Ste 7 Murphy NC 28906-6967 | |
(828) 835-8733 | |
Not Available |
Full Name | Charles S Watras Md Pllc |
---|---|
Speciality | Family Medicine |
Location | 3765 E Us 64 Alt Ste 7, Murphy, North Carolina |
Authorized Official Name and Position | Charles S Watras (ORGANIZER AND MEMBER) |
Authorized Official Contact | 8288358733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Charles S Watras Md Pllc 3765 E Us 64 Alt Ste 7 Murphy NC 28906-6967 Ph: (828) 835-8733 | Charles S Watras Md Pllc 3765 E Us 64 Alt Ste 7 Murphy NC 28906-6967 Ph: (828) 835-8733 |
NPI Number | 1265502801 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 06/13/2014 |
Medicare PECOS PAC ID | 1456481035 |
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Medicare Enrollment ID | O20100608000385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265502801 | NPI | - | NPPES |
5916613 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38238 (North Carolina) | Primary |
Provider Name | Charles S Watras |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891772737 PECOS PAC ID: 4284619354 Enrollment ID: I20040819001549 |
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