| Holly Springs Family Practice | |
|
104 Ararat Long Hill Rd Pilot Mountain NC 27041-8113 | |
| (336) 786-7966 | |
| (336) 786-1601 |
| Full Name | Holly Springs Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Ararat Long Hill Rd, Pilot Mountain, North Carolina |
| Authorized Official Name and Position | Randall S Keith (MEDICAL DOCTOR) |
| Authorized Official Contact | 3367867966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Springs Family Practice 104 Ararat Long Hill Rd Pilot Mountain NC 27041-8113 Ph: (336) 786-7966 | Holly Springs Family Practice 104 Ararat Long Hill Rd Pilot Mountain NC 27041-8113 Ph: (336) 786-7966 |
| NPI Number | 1346353869 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346353869 | NPI | - | NPPES |
| 8948063 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pilot Mountain Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Medical Street, Dba Pilot Mountain Family Practice, Pilot Mountain, NC 27041 Phone: 336-368-5011 Fax: 336-368-1424 | |
Novant Health Pilot Mountain Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Medical St, Pilot Mountain, NC 27041 Phone: 336-368-5011 Fax: 336-368-1424 |