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6329 Unity St Ste I Thomasville NC 27360-7186 | |
(336) 802-2270 | |
(336) 802-2271 |
Full Name | |
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Speciality | Family Medicine |
Location | 6329 Unity St, Thomasville, North Carolina |
Authorized Official Name and Position | Grace E Terrell (PRESIDENT / CEO) |
Authorized Official Contact | 3368022400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1701 Westchester Dr Ste 850 High Point NC 27262-7254 Ph: (336) 802-2536 | 6329 Unity St Ste I Thomasville NC 27360-7186 Ph: (336) 802-2270 |
NPI Number | 1710276027 |
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Provider Enumeration Date | 04/07/2011 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
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1710276027 | NPI | - | NPPES |
5908889 | Medicaid | NC | |
CB8658 | Other | NC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cloniger Dr, Thomasville, NC 27360 Phone: 336-870-2476 Fax: 336-313-4289 | |