| George R Kilpatrick Jr Md Pa | |
|
601 East Market Street Greensboro NC 27401 | |
| (336) 275-7658 | |
| (336) 275-8375 |
| Full Name | George R Kilpatrick Jr Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 East Market Street, Greensboro, North Carolina |
| Authorized Official Name and Position | George Kilpatrick (PRESIDENT) |
| Authorized Official Contact | 3362757658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George R Kilpatrick Jr Md Pa 601 East Market Street Greensboro NC 27401 Ph: (336) 275-7658 | George R Kilpatrick Jr Md Pa 601 East Market Street Greensboro NC 27401 Ph: (336) 275-7658 |
| NPI Number | 1942412713 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 10/11/2011 |
| Medicare PECOS PAC ID | 3779610001 |
|---|---|
| Medicare Enrollment ID | O20100419000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942412713 | NPI | - | NPPES |
| 48945 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8948945 | Medicaid | NC | |
| 0401716 | Other | NC | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | George Kilpatrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255426177 PECOS PAC ID: 5092842328 Enrollment ID: I20100419000635 |
| Provider Name | Brian Alexander Shackleford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154777662 PECOS PAC ID: 8426341819 Enrollment ID: I20190618000120 |
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