Jamestown Family Practice And Urgent Care, P.a. | |
700 W Main St Jamestown NC 27282-9509 | |
(336) 454-1166 | |
(336) 454-3695 |
Full Name | Jamestown Family Practice And Urgent Care, P.a. |
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Speciality | Clinic/center - Primary Care |
Location | 700 W Main St, Jamestown, North Carolina |
Authorized Official Name and Position | Wanda M Lawrence (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 3364541166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jamestown Family Practice And Urgent Care, P.a. 700 W Main St Po Box 1176 Jamestown NC 27282-9509 Ph: (336) 454-1166 | Jamestown Family Practice And Urgent Care, P.a. 700 W Main St Jamestown NC 27282-9509 Ph: (336) 454-1166 |
NPI Number | 1689715377 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689715377 | NPI | - | NPPES |
890188K | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 53347 (North Carolina) | Primary |