| Hygenerate | |
|
112 Wall St Oxford NC 27565-3255 | |
| (919) 339-1641 | |
| (984) 464-7709 |
| Full Name | Hygenerate |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Wall St, Oxford, North Carolina |
| Authorized Official Name and Position | Julianne Tondreau (OWNER) |
| Authorized Official Contact | 9195994452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hygenerate 11845 Retail Dr # 1111 Wake Forest NC 27587-7352 Ph: (919) 599-4452 | Hygenerate 112 Wall St Oxford NC 27565-3255 Ph: (919) 339-1641 |
| NPI Number | 1407565278 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 3375913114 |
|---|---|
| Medicare Enrollment ID | O20230112000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407565278 | NPI | - | NPPES |
| 1386047223 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julianne Tondreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386047223 PECOS PAC ID: 2264733021 Enrollment ID: I20151221000917 |
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