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2869 Virginia Rd Tyner NC 27980-9777 | |
(252) 506-7000 | |
(252) 357-1236 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2869 Virginia Rd, Tyner, North Carolina |
Authorized Official Name and Position | Rose Turner (CEO) |
Authorized Official Contact | 2523571226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 297 501 Main Street Gatesville NC 27938-9424 Ph: (252) 357-1226 | 2869 Virginia Rd Tyner NC 27980-9777 Ph: (252) 506-7000 |
NPI Number | 1679853642 |
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Provider Enumeration Date | 08/23/2011 |
Last Update Date | 01/28/2025 |
Medicare PECOS PAC ID | 9234356015 |
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Medicare Enrollment ID | O20140828002184 |
Identifier | Type | State | Issuer |
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1679853642 | NPI | - | NPPES |