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1301 National Hwy Thomasville NC 27360-2317 | |
(336) 474-1002 | |
(336) 474-1109 |
Full Name | |
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Speciality | Family Medicine |
Location | 1301 National Hwy, Thomasville, North Carolina |
Authorized Official Name and Position | Michele Grier (VP OPERATIONS) |
Authorized Official Contact | 3364741002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2000 Frontis Plaza Blvd Ste 102 Attn: Forsyth Medical Group Winston Salem NC 27103-5616 Ph: (336) 474-1002 | 1301 National Hwy Thomasville NC 27360-2317 Ph: (336) 474-1002 |
NPI Number | 1982652004 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 08/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982652004 | NPI | - | NPPES |
CA1315 | Other | NC | RAILROAD MEDICARE |
5900671 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cloniger Dr, Thomasville, NC 27360 Phone: 336-870-2476 Fax: 336-313-4289 | |