| Hope Mills Urgent Care & Medical Clinic, Pllc | |
|
3758 S Main St Hope Mills NC 28348-1959 | |
| (910) 429-0647 | |
| (910) 429-0791 |
| Full Name | Hope Mills Urgent Care & Medical Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3758 S Main St, Hope Mills, North Carolina |
| Authorized Official Name and Position | Joel Onafowokan (MEDICAL DIRECTOR / CEO) |
| Authorized Official Contact | 9104290647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Mills Urgent Care & Medical Clinic, Pllc 3758 S Main St Hope Mills NC 28348-1959 Ph: (910) 429-0647 | Hope Mills Urgent Care & Medical Clinic, Pllc 3758 S Main St Hope Mills NC 28348-1959 Ph: (910) 429-0647 |
| NPI Number | 1114134293 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 8527196369 |
|---|---|
| Medicare Enrollment ID | O20100514000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114134293 | NPI | - | NPPES |
| 89012WM | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel A Onafowokan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790745495 PECOS PAC ID: 2769401389 Enrollment ID: I20051114000377 |
| Provider Name | Kirsten N Bray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275521809 PECOS PAC ID: 6204837370 Enrollment ID: I20070117000130 |
| Provider Name | Toby B Okons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407998990 PECOS PAC ID: 8022146877 Enrollment ID: I20100517000444 |
| Provider Name | Carrie Mae Clough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801514922 PECOS PAC ID: 3173990181 Enrollment ID: I20221104000124 |
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