| Dlp Hickory Family Practice Associates Llc | |
|
52 12th Ave Ne Hickory NC 28601-2798 | |
| (615) 920-7000 | |
| Not Available |
| Full Name | Dlp Hickory Family Practice Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 52 12th Ave Ne, Hickory, 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 Hickory Family Practice Associates Llc 52 12th Ave Ne Hickory NC 28601-2798 Ph: (615) 920-7000 | Dlp Hickory Family Practice Associates Llc 52 12th Ave Ne Hickory NC 28601-2798 Ph: (615) 920-7000 |
| NPI Number | 1396100871 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Medicare PECOS PAC ID | 0648574582 |
|---|---|
| Medicare Enrollment ID | O20160212001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396100871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | James Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720016355 PECOS PAC ID: 6103734439 Enrollment ID: I20070912000322 |
| Provider Name | Michael L Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104822196 PECOS PAC ID: 0345412110 Enrollment ID: I20111021000001 |
| Provider Name | Alicia Ferrell Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861603235 PECOS PAC ID: 6103099775 Enrollment ID: I20111026000420 |
| Provider Name | Katherine Anne Hemby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851698195 PECOS PAC ID: 7214101609 Enrollment ID: I20111121000781 |
| Provider Name | Sharmeen A Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417242017 PECOS PAC ID: 1557673092 Enrollment ID: I20150711000008 |
| Provider Name | Deanna Lynn Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760424 PECOS PAC ID: 4385925700 Enrollment ID: I20161227000005 |
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