| Davidson River Family Medicine Pllc | |
|
317 Chestnut St Brevard NC 28712-3898 | |
| (828) 226-1980 | |
| (949) 404-6183 |
| Full Name | Davidson River Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 317 Chestnut St, Brevard, North Carolina |
| Authorized Official Name and Position | Thomas Fowler Lindsay (OWNER) |
| Authorized Official Contact | 8282261980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidson River Family Medicine Pllc 325 E Main St Brevard NC 28712-3834 Ph: (828) 226-1980 | Davidson River Family Medicine Pllc 317 Chestnut St Brevard NC 28712-3898 Ph: (828) 226-1980 |
| NPI Number | 1376009787 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 6204890874 |
|---|---|
| Medicare Enrollment ID | O20041113000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376009787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas F Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982647657 PECOS PAC ID: 8325036692 Enrollment ID: I20040505000079 |
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