Davis Medical Group Family Practice Stony Point | |
35 Ruritan Park Rd Stony Point NC 28678-8928 | |
(704) 585-9373 | |
(704) 585-9397 |
Full Name | Davis Medical Group Family Practice Stony Point |
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Speciality | Family Medicine |
Location | 35 Ruritan Park Rd, Stony Point, North Carolina |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBAORDING) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Davis Medical Group Family Practice Stony Point 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7230 | Davis Medical Group Family Practice Stony Point 35 Ruritan Park Rd Stony Point NC 28678-8928 Ph: (704) 585-9373 |
NPI Number | 1548796584 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 01/14/2022 |
Identifier | Type | State | Issuer |
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1548796584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 101815 (North Carolina) | Primary |