| Dlp Maria Parham Physician Practices Llc | |
|
511 Ruin Creek Rd Ste 101 Henderson NC 27536-5919 | |
| (252) 436-0440 | |
| (252) 436-0281 |
| Full Name | Dlp Maria Parham Physician Practices Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 511 Ruin Creek Rd Ste 101, Henderson, North Carolina |
| Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlp Maria Parham Physician Practices Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Dlp Maria Parham Physician Practices Llc 511 Ruin Creek Rd Ste 101 Henderson NC 27536-5919 Ph: (252) 436-0440 |
| NPI Number | 1578256749 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 7719153683 |
|---|---|
| Medicare Enrollment ID | O20230623002607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578256749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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