Family Medicine Of Harrellsville | |
103 E Main St Harrellsville NC 27942-9201 | |
(252) 356-6544 | |
(252) 356-9907 |
Full Name | Family Medicine Of Harrellsville |
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Speciality | Family Medicine |
Location | 103 E Main St, Harrellsville, North Carolina |
Authorized Official Name and Position | Gaddy Matheson Lassiter (CEO) |
Authorized Official Contact | 2523566544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medicine Of Harrellsville 103 E Main St Harrellsville NC 27942-9201 Ph: (252) 356-6544 | Family Medicine Of Harrellsville 103 E Main St Harrellsville NC 27942-9201 Ph: (252) 356-6544 |
NPI Number | 1124003934 |
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Provider Enumeration Date | 12/14/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124003934 | NPI | - | NPPES |
891216W | Medicaid | NC | |
1216W | Other | NC | BC/BS INDIVIDUAL # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (North Carolina) | Primary |