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4431 Hwy 220 N Summerfield NC 27358-9411 | |
(336) 643-7711 | |
(336) 643-3047 |
Full Name | |
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Speciality | Family Medicine |
Location | 4431 Hwy 220 N, Summerfield, North Carolina |
Authorized Official Name and Position | Russell Mars Howerton (SR VP NETWORK PHYS & HS CMO) |
Authorized Official Contact | 3367161331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | 4431 Hwy 220 N Summerfield NC 27358-9411 Ph: (336) 643-7711 |
NPI Number | 1730416801 |
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Provider Enumeration Date | 11/11/2009 |
Last Update Date | 11/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730416801 | NPI | - | NPPES |
5913764 | Medicaid | NC | |
DP8978 | Other | NC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4446 Us Highway 220 N Ste E, Summerfield, NC 27358 Phone: 336-290-6669 | |
Spear Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007-g Highway 150 West, Summerfield, NC 27358 Phone: 336-644-7771 Fax: 336-644-6118 |