| Doctor G Family Medical Services | |
|
902b Roanoke Ave Elizabeth City NC 27909-5565 | |
| (252) 368-8575 | |
| (252) 429-1611 |
| Full Name | Doctor G Family Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 902b Roanoke Ave, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Thomas Vaughn Giguiere (PRESIDENT) |
| Authorized Official Contact | 2523688575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor G Family Medical Services 902b Roanoke Ave Elizabeth City NC 27909-5565 Ph: (252) 368-8575 | Doctor G Family Medical Services 902b Roanoke Ave Elizabeth City NC 27909-5565 Ph: (252) 368-8575 |
| NPI Number | 1518476183 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2769748151 |
|---|---|
| Medicare Enrollment ID | O20171120000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518476183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Thomas Giguiere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932468980 PECOS PAC ID: 8921246828 Enrollment ID: I20150901001275 |
| Provider Name | Julie Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043840309 PECOS PAC ID: 3476984550 Enrollment ID: I20200505000505 |
| Provider Name | Samantha Cara Hemphill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780344143 PECOS PAC ID: 6103204706 Enrollment ID: I20220610001333 |
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