| Dlp Graystone Family Practice Associates Llc | |
|
3511 Graystone Pl Se Conover NC 28613-8201 | |
| (615) 920-7000 | |
| Not Available |
| Full Name | Dlp Graystone Family Practice Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3511 Graystone Pl Se, Conover, North Carolina |
| Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlp Graystone Family Practice Associates Llc 3511 Graystone Pl Se Conover NC 28613-8201 Ph: (615) 920-7000 | Dlp Graystone Family Practice Associates Llc 3511 Graystone Pl Se Conover NC 28613-8201 Ph: (615) 920-7000 |
| NPI Number | 1124483607 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 01/03/2016 |
| Medicare PECOS PAC ID | 0648575373 |
|---|---|
| Medicare Enrollment ID | O20160218000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124483607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven Gold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538126081 PECOS PAC ID: 3274628896 Enrollment ID: I20100702000490 |
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