| |
417 Vance St Unit B Clinton NC 28328-4001 | |
(910) 567-7107 | |
(910) 299-0486 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 417 Vance St Unit B, Clinton, North Carolina |
Authorized Official Name and Position | William C Ellison (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 9105677065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 340 Four Oaks NC 27524-0340 Ph: (910) 567-6194 | 417 Vance St Unit B Clinton NC 28328-4001 Ph: (910) 567-7107 |
NPI Number | 1134422041 |
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Provider Enumeration Date | 12/15/2010 |
Last Update Date | 04/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134422041 | NPI | - | NPPES |
2804165 | Other | NC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Sampson Regional Professional Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 Fax: 910-596-5430 | |
Total Health Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Beaman St, Unit 606, Clinton, NC 28328 Phone: 910-596-0061 Fax: 910-596-0062 |