Eastover Family Care Pc | |
3551 Dunn Rd Suite 101 Eastover NC 28312-8794 | |
(910) 483-6277 | |
(910) 483-6285 |
Full Name | Eastover Family Care Pc |
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Speciality | Family Medicine |
Location | 3551 Dunn Rd, Eastover, North Carolina |
Authorized Official Name and Position | Vickie Lynn Farmer (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9104836277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastover Family Care Pc 3947 Dunn Rd # 304 Eastover NC 28312-8533 Ph: (910) 483-6277 | Eastover Family Care Pc 3551 Dunn Rd Suite 101 Eastover NC 28312-8794 Ph: (910) 483-6277 |
NPI Number | 1881871622 |
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Provider Enumeration Date | 01/23/2008 |
Last Update Date | 11/05/2021 |
Medicare PECOS PAC ID | 9234218124 |
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Medicare Enrollment ID | O20080503000009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881871622 | NPI | - | NPPES |
2335746 | Other | NC | MEDICARE |
5908812 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Margaret Susan Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124025556 PECOS PAC ID: 0042399933 Enrollment ID: I20080503000018 |
Provider Name | Jill F Holland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649455163 PECOS PAC ID: 9133208887 Enrollment ID: I20080506000524 |
Provider Name | Deborah L Morris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710936364 PECOS PAC ID: 6406941566 Enrollment ID: I20090204000599 |
Provider Name | Elizabeth Kleinfelder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134580442 PECOS PAC ID: 2961795497 Enrollment ID: I20160721001294 |
Provider Name | Allison U Holden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215475066 PECOS PAC ID: 6800160698 Enrollment ID: I20170918001250 |
Provider Name | Charmay Deneen Fryar-robinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831738178 PECOS PAC ID: 1456766591 Enrollment ID: I20210223000555 |