| |
490 Hospital Dr 2nd Floor Clyde NC 28721-8026 | |
(828) 456-9006 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 490 Hospital Dr, Clyde, North Carolina |
Authorized Official Name and Position | Jill Hoggard Green (PRESIDENT) |
Authorized Official Contact | 8282139637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 602373 Charlotte NC 28260-2373 Ph: () - | 490 Hospital Dr 2nd Floor Clyde NC 28721-8026 Ph: (828) 456-9006 |
NPI Number | 1760702682 |
---|---|
Provider Enumeration Date | 06/02/2010 |
Last Update Date | 08/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760702682 | NPI | - | NPPES |
5915824 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Appalachian Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Haywood Park Dr, Clyde, NC 28721 Phone: 828-237-8001 Fax: 828-237-8002 | |
Midway Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6750 Carolina Blvd, Clyde, NC 28721 Phone: 828-627-2211 Fax: 855-876-9354 |