| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 313 Teal Dr, Raeford, 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 |
|---|---|
313 Teal Dr Raeford NC 28376-2527 Ph: (910) 904-2350 | 313 Teal Dr Raeford NC 28376-2527 Ph: (910) 904-2350 |
| NPI Number | 1245335066 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245335066 | NPI | - | NPPES |
| 1245335066 | Medicaid | NC | |
| 8902800 | Medicaid | NC | |
| 02AY3 | Other | NC | BCBS |
| 0188P | Other | NC | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cvs Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Cole Avenue, Raeford, NC 28376 Phone: 910-875-8501 | |
Hoke Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Medical Pavilion Drive, Raeford, NC 28376 Phone: 910-904-8000 | |
Tarheel Foot & Specialty Care, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Birch St, Suite B, Raeford, NC 28376 Phone: 910-904-6600 Fax: 910-904-1810 | |