| Lake Jeanette Urgent Care, Llc | |
|
1309 Lees Chapel Road Greensboro NC 27455-2601 | |
| (336) 286-5505 | |
| (336) 286-5583 |
| Full Name | Lake Jeanette Urgent Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1309 Lees Chapel Road, Greensboro, North Carolina |
| Authorized Official Name and Position | Shelia Ann Winfrey (BILLING MANAGER) |
| Authorized Official Contact | 3362865505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Jeanette Urgent Care, Llc 1309 Lees Chapel Road Greensboro NC 27455-2601 Ph: (336) 286-5505 | Lake Jeanette Urgent Care, Llc 1309 Lees Chapel Road Greensboro NC 27455-2601 Ph: (336) 286-5505 |
| NPI Number | 1215252119 |
|---|---|
| Provider Enumeration Date | 04/02/2010 |
| Last Update Date | 01/25/2018 |
| Medicare PECOS PAC ID | 3173788825 |
|---|---|
| Medicare Enrollment ID | O20120629000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215252119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vincent K Cheek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205804986 PECOS PAC ID: 6406820521 Enrollment ID: I20040824001135 |
| Provider Name | Joseph Luke Zammit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811965726 PECOS PAC ID: 7012965668 Enrollment ID: I20050110001070 |
| Provider Name | John L Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992760870 PECOS PAC ID: 0749329332 Enrollment ID: I20091119000562 |
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