| Evergreen Packaging Family Medical Center | |
|
119 Park St Canton NC 28716-4319 | |
| (828) 235-3023 | |
| (828) 235-9119 |
| Full Name | Evergreen Packaging Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 119 Park St, Canton, North Carolina |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Packaging Family Medical Center 5500 Maryland Way Brentwood TN 37027-4948 Ph: (877) 865-9013 | Evergreen Packaging Family Medical Center 119 Park St Canton NC 28716-4319 Ph: (828) 235-3023 |
| NPI Number | 1437213394 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437213394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
State Health Plan Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Park St, Canton, NC 28716 Phone: 828-235-8414 Fax: 828-235-9135 |