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1309 E Sunset Dr Monroe NC 28112-4324 | |
(704) 296-9090 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1309 E Sunset Dr, Monroe, North Carolina |
Authorized Official Name and Position | Michael Riccoboni (ORGANIZING MEMBER) |
Authorized Official Contact | 3367665935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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420 Utility Dr Clemmons NC 27012-8397 Ph: (336) 766-5935 | 1309 E Sunset Dr Monroe NC 28112-4324 Ph: (704) 296-9090 |
NPI Number | 1851692891 |
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Provider Enumeration Date | 11/08/2010 |
Last Update Date | 11/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851692891 | NPI | - | NPPES |
890833W | Medicaid | NC | |
085HM | Medicaid | NC | |
1477587947 | Other | NC | NPI |
1013998848 | Other | NC | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3062 (North Carolina) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |