| Hampstead Medical Center, Pc | |
|
14980 Us Highway 17 N Hampstead NC 28443-3390 | |
| (910) 270-0282 | |
| Not Available |
| Full Name | Hampstead Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14980 Us Highway 17 N, Hampstead, North Carolina |
| Authorized Official Name and Position | Shyam Lal Garg (PRESIDENT) |
| Authorized Official Contact | 9102702722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampstead Medical Center, Pc 14980 Us Highway 17 N Hampstead NC 28443-3390 Ph: (910) 270-0282 | Hampstead Medical Center, Pc 14980 Us Highway 17 N Hampstead NC 28443-3390 Ph: (910) 270-0282 |
| NPI Number | 1235286204 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567627342 |
|---|---|
| Medicare Enrollment ID | O20120628000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235286204 | NPI | - | NPPES |
| 34555 | Other | NC | BC BS OF NORTH CAROLINA |
| 8934555 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 26415 (North Carolina) | Primary |
| Provider Name | Shyam Garg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063587095 PECOS PAC ID: 1951496611 Enrollment ID: I20120628000376 |
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