Jacksonville Family Medical Center, Pllc | |
2587 Henderson Dr Jacksonville NC 28546-5253 | |
(910) 938-3200 | |
(910) 938-3043 |
Full Name | Jacksonville Family Medical Center, Pllc |
---|---|
Speciality | Family Medicine |
Location | 2587 Henderson Dr, Jacksonville, North Carolina |
Authorized Official Name and Position | Ricky A Thomas (PHYSICIAN) |
Authorized Official Contact | 9109383200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacksonville Family Medical Center, Pllc 2587 Henderson Dr Jacksonville NC 28546-5253 Ph: (910) 938-3200 | Jacksonville Family Medical Center, Pllc 2587 Henderson Dr Jacksonville NC 28546-5253 Ph: (910) 938-3200 |
NPI Number | 1104925056 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 05/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104925056 | NPI | - | NPPES |
DG9898 | Other | NC | RAILROAD MEDICARE PIN |
89011JH | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36058 (North Carolina) | Primary |
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