| Family Clinicpllc | |
|
211 Brook Rd Aberdeen NC 28315-3125 | |
| (910) 944-7777 | |
| (910) 944-9663 |
| Full Name | Family Clinicpllc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 Brook Rd, Aberdeen, North Carolina |
| Authorized Official Name and Position | Roger D Waddell (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9109447777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinicpllc 211 Brook Rd Aberdeen NC 28315-3125 Ph: (910) 944-7777 | Family Clinicpllc 211 Brook Rd Aberdeen NC 28315-3125 Ph: (910) 944-7777 |
| NPI Number | 1831429547 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 06/07/2010 |
| Medicare PECOS PAC ID | 2062542038 |
|---|---|
| Medicare Enrollment ID | O20100617000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831429547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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