| Goldsboro Family Physicians, P.a. | |
|
1108 Parkway Dr Ste B Goldsboro NC 27534-9429 | |
| (919) 735-1251 | |
| (919) 734-5183 |
| Full Name | Goldsboro Family Physicians, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 Parkway Dr Ste B, Goldsboro, North Carolina |
| Authorized Official Name and Position | Donald Keith Clarke (PRESIDENT) |
| Authorized Official Contact | 9197351251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldsboro Family Physicians, P.a. 1108 Parkway Dr Ste B Goldsboro NC 27534-9429 Ph: (919) 735-1251 | Goldsboro Family Physicians, P.a. 1108 Parkway Dr Ste B Goldsboro NC 27534-9429 Ph: (919) 735-1251 |
| NPI Number | 1427097823 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 02/17/2020 |
| Medicare PECOS PAC ID | 7810095700 |
|---|---|
| Medicare Enrollment ID | O20070530000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427097823 | NPI | - | NPPES |
| 790150C | Medicaid | NC | |
| 0150C | Other | NC | BLUE CROSS BLUE SHIELD NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9900553 (North Carolina) | Primary |
| Provider Name | Donald Keith Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326138496 PECOS PAC ID: 6800994708 Enrollment ID: I20101108001030 |
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