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804 English Rd Ste 100 Rocky Mount NC 27804-6027 | |
| (252) 443-3133 | |
| (252) 443-6726 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 804 English Rd Ste 100, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Ashley Long (PRACTICE IMPLEMENTATION MANAGER) |
| Authorized Official Contact | 9843332741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
804 English Rd Ste 100 Rocky Mount NC 27804-6027 Ph: (252) 443-3133 | 804 English Rd Ste 100 Rocky Mount NC 27804-6027 Ph: (252) 443-3133 |
| NPI Number | 1972194868 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972194868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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