| Family Care Of Winston-salem, Pa | |
|
1365 Westgate Center Dr Ste C1 Winston-salem NC 27103-2980 | |
| (336) 768-6682 | |
| (336) 768-8212 |
| Full Name | Family Care Of Winston-salem, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1365 Westgate Center Dr, Winston-salem, North Carolina |
| Authorized Official Name and Position | Eldon S Beard (PRESIDENT) |
| Authorized Official Contact | 3367686682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of Winston-salem, Pa 1365 Westgate Center Dr Ste C1 Winston-salem NC 27103-2980 Ph: (336) 768-6682 | Family Care Of Winston-salem, Pa 1365 Westgate Center Dr Ste C1 Winston-salem NC 27103-2980 Ph: (336) 768-6682 |
| NPI Number | 1073565727 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618138488 |
|---|---|
| Medicare Enrollment ID | O20120423000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073565727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eldon Severin Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205896883 PECOS PAC ID: 3678464930 Enrollment ID: I20040324000728 |
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