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104 W Southern Ave Raeford NC 28376-3218 | |
(910) 615-3140 | |
(910) 486-2169 |
Full Name | |
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Speciality | Family Medicine |
Location | 104 W Southern Ave, Raeford, North Carolina |
Authorized Official Name and Position | Michael Nagowski (CEO) |
Authorized Official Contact | 9106156700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6448 | 104 W Southern Ave Raeford NC 28376-3218 Ph: (910) 615-3140 |
NPI Number | 1356665152 |
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Provider Enumeration Date | 03/23/2010 |
Last Update Date | 07/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356665152 | NPI | - | NPPES |
5913981 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H0213 (North Carolina) | Primary |
Cvs Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Cole Avenue, Raeford, NC 28376 Phone: 910-875-8501 | |
Hoke Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Medical Pavilion Drive, Raeford, NC 28376 Phone: 910-904-8000 | |
Tarheel Foot & Specialty Care, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Birch St, Suite B, Raeford, NC 28376 Phone: 910-904-6600 Fax: 910-904-1810 | |