| Independence Medical, Pa | |
|
515 Barbour Rd Smithfield NC 27577-7698 | |
| (919) 544-4747 | |
| (919) 544-0104 |
| Full Name | Independence Medical, Pa |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 515 Barbour Rd, Smithfield, North Carolina |
| Authorized Official Name and Position | Bernard L Bennett (PRESIDENT) |
| Authorized Official Contact | 9196228272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Medical, Pa 1209 Falls Bridge Dr Raleigh NC 27614-8935 Ph: (919) 544-4747 | Independence Medical, Pa 515 Barbour Rd Smithfield NC 27577-7698 Ph: (919) 544-4747 |
| NPI Number | 1700845112 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700845112 | NPI | - | NPPES |
| DA5493 | Other | NC | MEDICARE RAILROAD |
| 891028P | Medicaid | NC | |
| 1028P | Medicaid | NC | |
| P00062870 | Other | NC | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 36493 (North Carolina) | Primary |
Horizon Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 | |
Hometown Direct Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577 Phone: 919-901-7344 Fax: 319-250-7453 | |
Johnston Infectious Disease And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 N Brightleaf Blvd, Suite 201 Medical Arts Bldg, Smithfield, NC 27577 Phone: 919-934-8544 | |
Independence Health Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Barbour Rd, Smithfield, NC 27577 Phone: 919-934-6017 Fax: 919-934-2057 | |
Evolve Medical Spa Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Market St Ste 3c, Smithfield, NC 27577 Phone: 919-205-1376 Fax: 919-205-1378 | |
The Raven Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1652 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-8353 | |
Horizon Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 |