Johnston Family Care Center | |
400 N Englewood Dr Kenly NC 27542-9290 | |
(919) 284-4149 | |
(919) 284-6008 |
Full Name | Johnston Family Care Center |
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Speciality | Clinic/center |
Location | 400 N Englewood Dr, Kenly, North Carolina |
Authorized Official Name and Position | Michael Vincent Woodbridge (DOCTOR) |
Authorized Official Contact | 9192844149 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Johnston Family Care Center 400 N Englewood Dr Kenly NC 27542-9290 Ph: (919) 284-4149 | Johnston Family Care Center 400 N Englewood Dr Kenly NC 27542-9290 Ph: (919) 284-4149 |
NPI Number | 1295745099 |
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Provider Enumeration Date | 08/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295745099 | NPI | - | NPPES |
891207E | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 9900728 (North Carolina) | Primary |
Johnston Family Care Center-kenly Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Englewood Dr, Kenly, NC 27542 Phone: 919-284-4149 Fax: 919-284-6008 | |
Kenly Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 East Second Street, Kenly, NC 27542 Phone: 919-284-4025 Fax: 919-284-5965 |