Full Name | |
---|---|
Speciality | Family Medicine |
Location | 901 Denim Dr, Erwin, North Carolina |
Authorized Official Name and Position | Robin Warren Blackwelder (INSURANCE MANAGER) |
Authorized Official Contact | 9108975521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
901 Denim Dr Erwin NC 28339-2307 Ph: (910) 897-5521 | 901 Denim Dr Erwin NC 28339-2307 Ph: (910) 897-5521 |
NPI Number | 1821053307 |
---|---|
Provider Enumeration Date | 04/19/2006 |
Last Update Date | 05/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821053307 | NPI | - | NPPES |
89014FT | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200801349 (North Carolina) | Primary |
Dunn-erwin Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 E H St, Erwin, NC 28339 Phone: 910-897-4551 Fax: 910-897-2218 |