| Dallas Family Medicine, Pa | |
|
824 Lower Dallas Hwy Dallas NC 28034-9368 | |
| (704) 874-0200 | |
| (704) 874-0201 |
| Full Name | Dallas Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 824 Lower Dallas Hwy, Dallas, North Carolina |
| Authorized Official Name and Position | Judith Anne Ware (OFFICE MANAGER) |
| Authorized Official Contact | 7048740205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Family Medicine, Pa 824 Lower Dallas Hwy Dallas NC 28034-9368 Ph: (704) 874-0200 | Dallas Family Medicine, Pa 824 Lower Dallas Hwy Dallas NC 28034-9368 Ph: (704) 874-0200 |
| NPI Number | 1487726352 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577584259 |
|---|---|
| Medicare Enrollment ID | O20051208000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487726352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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