| Jrs1 Health Care | |
|
514 Beaumont Rd Fayetteville NC 28304-4443 | |
| (910) 485-8831 | |
| (910) 485-8832 |
| Full Name | Jrs1 Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 514 Beaumont Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Jos Santz (PRESIDENT) |
| Authorized Official Contact | 9104965077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrs1 Health Care Po Box 87736 Fayetteville NC 28304-7736 Ph: (910) 496-5077 | Jrs1 Health Care 514 Beaumont Rd Fayetteville NC 28304-4443 Ph: (910) 485-8831 |
| NPI Number | 1700116498 |
|---|---|
| Provider Enumeration Date | 01/03/2010 |
| Last Update Date | 01/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700116498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005-01471 (North Carolina) | Primary |
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