Impact Primary And Urgent Care | |
315 Franklin Plz Louisburg NC 27549-2765 | |
(919) 496-4976 | |
Not Available |
Full Name | Impact Primary And Urgent Care |
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Speciality | Family Medicine |
Location | 315 Franklin Plz, Louisburg, North Carolina |
Authorized Official Name and Position | Heather Johnson Montgomery (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9196908588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Impact Primary And Urgent Care 315 Franklin Plz Louisburg NC 27549-2765 Ph: (919) 496-4976 | Impact Primary And Urgent Care 315 Franklin Plz Louisburg NC 27549-2765 Ph: (919) 496-4976 |
NPI Number | 1124537246 |
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Provider Enumeration Date | 09/20/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3476810532 |
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Medicare Enrollment ID | O20171127002943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124537246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2013-01723 (North Carolina) | Primary |
Provider Name | Sandra G Wilusz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871739367 PECOS PAC ID: 6002971736 Enrollment ID: I20090212000677 |
Provider Name | Heather M Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326278466 PECOS PAC ID: 4183770415 Enrollment ID: I20090928000659 |
Provider Name | Demaura Hawkins Russell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114218492 PECOS PAC ID: 1456585066 Enrollment ID: I20131015001779 |
Provider Name | Alexia Edwards |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386113124 PECOS PAC ID: 0840539359 Enrollment ID: I20190228000022 |
Provider Name | Loretta Mae Pearce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033609813 PECOS PAC ID: 4183056161 Enrollment ID: I20200422001096 |
Provider Name | Brittany Hicks Newell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083230197 PECOS PAC ID: 3678985520 Enrollment ID: I20201217000462 |
Provider Name | Kelly Meagan Brewer Coker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134895386 PECOS PAC ID: 7719385988 Enrollment ID: I20211004000491 |
Provider Name | Dana Pernell Browning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245821420 PECOS PAC ID: 6305244757 Enrollment ID: I20211015000050 |
Provider Name | Kennedy Ukoriyobhe Onori |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407465651 PECOS PAC ID: 3375931967 Enrollment ID: I20211101002837 |
William A Sayles, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Bickett Blvd, Louisburg, NC 27549 Phone: 919-496-3680 | |
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James G. Hardy Dds Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Jolly St, Suite 103, Louisburg, NC 27549 Phone: 919-496-3088 | |
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