Infinite Wellness Of The Carolinas | |
2530 W Roosevelt Blvd Monroe NC 28110-8468 | |
(704) 774-1703 | |
Not Available |
Full Name | Infinite Wellness Of The Carolinas |
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Speciality | Internal Medicine |
Location | 2530 W Roosevelt Blvd, Monroe, North Carolina |
Authorized Official Name and Position | Mary K Ingram (BILLING MANAGER) |
Authorized Official Contact | 8035474343 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinite Wellness Of The Carolinas 2530 W Roosevelt Blvd Monroe NC 28110-8468 Ph: (704) 774-1703 | Infinite Wellness Of The Carolinas 2530 W Roosevelt Blvd Monroe NC 28110-8468 Ph: (704) 774-1703 |
NPI Number | 1902150832 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 03/03/2014 |
Medicare PECOS PAC ID | 2466605662 |
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Medicare Enrollment ID | O20130122000527 |
Identifier | Type | State | Issuer |
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1902150832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
Provider Name | Tamara H Lockhart |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1760430292 PECOS PAC ID: 7113025396 Enrollment ID: I20090331000630 |
Provider Name | Todd Lockhart |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1053369587 PECOS PAC ID: 1759489933 Enrollment ID: I20101202000518 |
Provider Name | Donnielle Lynn Green |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1073620530 PECOS PAC ID: 6800810375 Enrollment ID: I20121102000115 |
Provider Name | Tina L Gerhardt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659781755 PECOS PAC ID: 8628396298 Enrollment ID: I20160307002005 |
Provider Name | Nacole H Wood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356932974 PECOS PAC ID: 8729495130 Enrollment ID: I20210401000379 |
Provider Name | Michael J Pease |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558791681 PECOS PAC ID: 6709009327 Enrollment ID: I20210423001153 |
Provider Name | Benjamin Drach |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659057404 PECOS PAC ID: 2860934304 Enrollment ID: I20240612000112 |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |