Healtheast Family Care-avon | |
40894 Hwy 12 Avon NC 27915 | |
(252) 995-3073 | |
Not Available |
Full Name | Healtheast Family Care-avon |
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Speciality | Clinic/center |
Location | 40894 Hwy 12, Avon, North Carolina |
Authorized Official Name and Position | Lynn T. Lanier (VP OF FINANCE FOR EAST CAROLINA HEA) |
Authorized Official Contact | 2528477479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healtheast Family Care-avon 40894 Hwy 12 Avon NC 27915 Ph: (252) 995-3073 | Healtheast Family Care-avon 40894 Hwy 12 Avon NC 27915 Ph: (252) 995-3073 |
NPI Number | 1174585012 |
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Provider Enumeration Date | 04/05/2006 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174585012 | NPI | - | NPPES |
0290R | Other | NC | BCBS PROVIDER # |
790290R | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |