| Clifford H. Mault, D.o., P.a. | |
|
12 Grindstaff Cove Rd Sylva NC 28779 | |
| (828) 586-0807 | |
| (828) 586-8490 |
| Full Name | Clifford H. Mault, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12 Grindstaff Cove Rd, Sylva, North Carolina |
| Authorized Official Name and Position | Clifford H. Mault (PROVIDER/OWNER) |
| Authorized Official Contact | 8285860807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford H. Mault, D.o., P.a. Po Box 1836 Sylva NC 28779 Ph: (828) 586-0807 | Clifford H. Mault, D.o., P.a. 12 Grindstaff Cove Rd Sylva NC 28779 Ph: (828) 586-0807 |
| NPI Number | 1881891828 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 5092801555 |
|---|---|
| Medicare Enrollment ID | O20071012000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881891828 | NPI | - | NPPES |
| 138XC | Other | NC | BCBS |
| 5907223 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200300173 (North Carolina) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Clifford H Mault |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902870736 PECOS PAC ID: 3274629738 Enrollment ID: I20071012000721 |
| Provider Name | Tonya Maria Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265976286 PECOS PAC ID: 0446535470 Enrollment ID: I20180913001682 |
Harris Women's Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 The Village Overlook, Sylva, NC 28779 Phone: 828-631-8913 | |
Sylva Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Hospital Rd, Sylva, NC 28779 Phone: 828-586-8971 | |
Mountain View Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98a Cope Creek Road, Sylva, NC 28779 Phone: 828-586-7925 Fax: 828-586-7926 | |
Wellspring Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 81 Medical Park Loop, Suite 202, Sylva, NC 28779 Phone: 828-586-7705 Fax: 828-586-7714 | |
Sylva Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Fisher Creek Rd, Sylva, NC 28779 Phone: 828-586-4012 Fax: 828-586-5162 | |
Harris Regional Cancer Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Medical Park Loop, Sylva, NC 28779 Phone: 828-586-7610 Fax: 828-586-7615 | |
Harris Pediatric Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Doctors Dr Ste 300, Sylva, NC 28779 Phone: 828-586-9642 |