| Cnc Family Medicine, Pllc | |
|
128 Okeewemee Star Rd Star NC 27356-7343 | |
| (910) 428-1111 | |
| (910) 428-2506 |
| Full Name | Cnc Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 128 Okeewemee Star Rd, Star, North Carolina |
| Authorized Official Name and Position | David Nelson Buckland (PRESIDENT) |
| Authorized Official Contact | 9104281111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cnc Family Medicine, Pllc Po Box 190 Star NC 27356-0190 Ph: (910) 428-1111 | Cnc Family Medicine, Pllc 128 Okeewemee Star Rd Star NC 27356-7343 Ph: (910) 428-1111 |
| NPI Number | 1952305401 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952305401 | NPI | - | NPPES |
| 89015AV | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Goshen Medical Center - Star Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Cotton Creek Rd, Star, NC 27356 Phone: 910-226-4970 | |
Montgomery County Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Cotton Creek Rd, Star, NC 27356 Phone: 910-428-9020 Fax: 910-428-9022 |