| First Foundation Clinic Of The Carolinas, Inc. | |
|
107 N Summey St Dallas NC 28034-1824 | |
| (704) 923-0446 | |
| (704) 923-8319 |
| Full Name | First Foundation Clinic Of The Carolinas, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 N Summey St, Dallas, North Carolina |
| Authorized Official Name and Position | Thirrfern Jamerson (OFFICE MANAGER) |
| Authorized Official Contact | 7049230446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Foundation Clinic Of The Carolinas, Inc. Po Box 578 Dallas NC 28034-0578 Ph: (704) 923-0446 | First Foundation Clinic Of The Carolinas, Inc. 107 N Summey St Dallas NC 28034-1824 Ph: (704) 923-0446 |
| NPI Number | 1912968934 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912968934 | NPI | - | NPPES |
| 0233U | Other | NC | BCBS |
| 790233U | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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