| |
400 Nw Broad St Ste A Southern Pines NC 28387-4804 | |
(910) 725-0809 | |
(910) 725-2018 |
Full Name | |
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Speciality | Internal Medicine |
Location | 400 Nw Broad St Ste A, Southern Pines, North Carolina |
Authorized Official Name and Position | Robert Deucher (OWNER) |
Authorized Official Contact | 9107250809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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400 Nw Broad St Ste A Southern Pines NC 28387-4804 Ph: (910) 725-0809 | 400 Nw Broad St Ste A Southern Pines NC 28387-4804 Ph: (910) 725-0809 |
NPI Number | 1760859516 |
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Provider Enumeration Date | 08/27/2015 |
Last Update Date | 10/08/2024 |
Medicare PECOS PAC ID | 7315247889 |
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Medicare Enrollment ID | O20151205000150 |
Identifier | Type | State | Issuer |
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1760859516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert L Deucher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922042662 PECOS PAC ID: 3678585718 Enrollment ID: I20100218000885 |
Fortified Med Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236 | |
Walter S Morris Iii Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Sw Broad St, Unit A, Southern Pines, NC 28387 Phone: 910-639-2583 | |
Thrive Health & Wellness, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236 Fax: 916-431-0236 | |
Vitacore Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Se Broad St, Southern Pines, NC 28387 Phone: 910-690-6894 Fax: 910-725-0033 |