| |
150 Ivey Ln Ste B Pinehurst NC 28374-9817 | |
(910) 215-5210 | |
(910) 215-5215 |
Full Name | |
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Speciality | Family Medicine |
Location | 150 Ivey Ln Ste B, Pinehurst, North Carolina |
Authorized Official Name and Position | Mickey Foster (CEO) |
Authorized Official Contact | 9107154473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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150 Ivey Ln Ste B Pinehurst NC 28374-9817 Ph: (910) 215-5210 | 150 Ivey Ln Ste B Pinehurst NC 28374-9817 Ph: (910) 215-5210 |
NPI Number | 1902323561 |
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Provider Enumeration Date | 08/24/2017 |
Last Update Date | 01/06/2025 |
Identifier | Type | State | Issuer |
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1902323561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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