Full Name | |
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Speciality | Internal Medicine |
Location | 1000 Brown Street, Faith, North Carolina |
Authorized Official Name and Position | Paul A Verhaeghe (CEO) |
Authorized Official Contact | 7046337220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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611 Mocksville Ave Salisbury NC 28144-2705 Ph: (704) 633-7220 | 1000 Brown Street Faith NC 28041 Ph: (704) 633-7220 |
NPI Number | 1023471869 |
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Provider Enumeration Date | 03/30/2016 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023471869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |