| Family Care, P.a. | |
|
6216 Fayetteville Rd Ste 103 Durham NC 27713-6287 | |
| (919) 544-6461 | |
| (919) 361-2487 |
| Full Name | Family Care, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 6216 Fayetteville Rd, Durham, North Carolina |
| Authorized Official Name and Position | Sabrina Marie Mentock (PRESIDENT) |
| Authorized Official Contact | 9195446461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care, P.a. 6216 Fayetteville Rd Ste 103 Durham NC 27713-6287 Ph: (919) 544-6461 | Family Care, P.a. 6216 Fayetteville Rd Ste 103 Durham NC 27713-6287 Ph: (919) 544-6461 |
| NPI Number | 1528102449 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 11/11/2008 |
| Medicare PECOS PAC ID | 2365519048 |
|---|---|
| Medicare Enrollment ID | O20080922000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528102449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38139 (North Carolina) | Primary |
| Provider Name | Elaina L Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856970 PECOS PAC ID: 1557317666 Enrollment ID: I20050322000845 |
| Provider Name | Sabrina Marie Mentock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841346947 PECOS PAC ID: 7810064573 Enrollment ID: I20080922000351 |
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