| Fhpg, Llc | |
|
1035 7 Lakes Dr Ste C West End NC 27376-9081 | |
| (910) 673-0045 | |
| (910) 673-5705 |
| Full Name | Fhpg, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1035 7 Lakes Dr Ste C, West End, North Carolina |
| Authorized Official Name and Position | Kathy Dennis (DIRECTOR) |
| Authorized Official Contact | 9107155181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhpg, Llc Po Box 896208 Charlotte NC 28289-6208 Ph: (910) 673-0045 | Fhpg, Llc 1035 7 Lakes Dr Ste C West End NC 27376-9081 Ph: (910) 673-0045 |
| NPI Number | 1548290265 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548290265 | NPI | - | NPPES |
| 0242L | Other | NC | BCBS |
| 1548290265 | Medicaid | NC | |
| 790242L | Medicaid | NC | |
| 02AY4 | Other | NC | BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 103285 (North Carolina) | Primary |
Rx Clinical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Mac Dougall Dr, West End, NC 27376 Phone: 910-673-7467 |