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1 Hospital Rd Caller Box C-268 Cherokee NC 28719-9253 | |
(828) 497-9163 | |
(828) 497-1723 |
Full Name | |
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Speciality | Clinic/center |
Location | 1 Hospital Rd, Cherokee, North Carolina |
Authorized Official Name and Position | Jonathan Ceri Dando (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 8284979163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Hospital Rd Caller Box C-268 Cherokee NC 28719-9253 Ph: (828) 497-9163 | 1 Hospital Rd Caller Box C-268 Cherokee NC 28719-9253 Ph: (828) 497-9163 |
NPI Number | 1629452917 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 01/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629452917 | NPI | - | NPPES |
0767C | Other | NC | BCBSNC |
1770662348 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (North Carolina) | Primary |