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150 Ivey Ln Ste A Pinehurst NC 28374-9817 | |
| (910) 215-5200 | |
| (910) 215-5215 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Ivey Ln Ste A, Pinehurst, North Carolina |
| Authorized Official Name and Position | Mickey Foster (CFO) |
| Authorized Official Contact | 9107154473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
150 Ivey Ln Ste A Pinehurst NC 28374-9817 Ph: (910) 215-5200 | 150 Ivey Ln Ste A Pinehurst NC 28374-9817 Ph: (910) 215-5200 |
| NPI Number | 1023535648 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023535648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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