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310 Long Shoals Rd Ste 110 Arden NC 28704-8794 | |
(828) 213-1740 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 310 Long Shoals Rd Ste 110, Arden, North Carolina |
Authorized Official Name and Position | Marilyn Tatham (PROVIDER ENROLLMENT MANAGER) |
Authorized Official Contact | 8286516595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 603366 Charlotte NC 28260-3366 Ph: (828) 213-1500 | 310 Long Shoals Rd Ste 110 Arden NC 28704-8794 Ph: (828) 213-1740 |
NPI Number | 1619447828 |
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Provider Enumeration Date | 11/30/2018 |
Last Update Date | 12/03/2018 |
Identifier | Type | State | Issuer |
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1619447828 | NPI | - | NPPES |
02CG9 | Other | NC | BC/BS NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pisgah Direct Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Cranbrook Dr, Arden, NC 28704 Phone: 941-313-4571 Fax: 828-662-2004 | |
Vista Family Health Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 Hendersonville Rd, Suite C, Arden, NC 28704 Phone: 828-687-8647 Fax: 828-684-6891 |