| Clemmons Urgent And Primary Care, Pa | |
|
2245 Lewisville Clemmons Rd Ste C Clemmons NC 27012-7461 | |
| (336) 712-8225 | |
| (336) 712-8227 |
| Full Name | Clemmons Urgent And Primary Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2245 Lewisville Clemmons Rd Ste C, Clemmons, North Carolina |
| Authorized Official Name and Position | Arie Mantin (OWNER/ ONLY PROVIDER) |
| Authorized Official Contact | 3367128225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clemmons Urgent And Primary Care, Pa 2245 Lewisville Clemmons Rd Ste C Clemmons NC 27012-7461 Ph: (336) 712-8225 | Clemmons Urgent And Primary Care, Pa 2245 Lewisville Clemmons Rd Ste C Clemmons NC 27012-7461 Ph: (336) 712-8225 |
| NPI Number | 1518141407 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 07/11/2013 |
| Medicare PECOS PAC ID | 0547162083 |
|---|---|
| Medicare Enrollment ID | O20040123000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518141407 | NPI | - | NPPES |
| 2335641 | Other | NC | MEDICARE |
| 2288835C | Other | NC | MEDICARE |
| 89136M4 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200000535 (North Carolina) | Primary |
| Provider Name | Arie Mantin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629064191 PECOS PAC ID: 8921900465 Enrollment ID: I20040205000422 |
Novant Health Village Point Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 Village Medical Cir, Clemmons, NC 27012 Phone: 336-893-2420 Fax: 336-893-2431 | |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-703-4273 Fax: 336-661-4954 | |
Kids Best Nutrition & Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 Towncenter Dr Ste 810, Clemmons, NC 27012 Phone: 980-533-0993 | |
Novant Health Village Point Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 Village Medical Cir, Clemmons, NC 27012 Phone: 336-893-2420 Fax: 336-893-2431 | |
Gastroenterology Associates Of The Piedmont, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7126 Village Medical Cir, Clemmons, NC 27012 Phone: 336-448-2427 | |
Dunham Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Whitmore Cove Ct, Clemmons, NC 27012 Phone: 252-258-0480 | |
Clemmons Dermatology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-416-4093 |