| Longevity Clinical Ltc Associates Of North Carolina Pllc | |
|
635 Statesville Blvd Salisbury NC 28144-2201 | |
| (704) 633-7390 | |
| Not Available |
| Full Name | Longevity Clinical Ltc Associates Of North Carolina Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 635 Statesville Blvd, Salisbury, North Carolina |
| Authorized Official Name and Position | David C Whybrew (MARKET PRESIDENT, LHP OKLAHOMA) |
| Authorized Official Contact | 9188595334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Clinical Ltc Associates Of North Carolina Pllc 11770 Us 1 Ste 101 Palm Beach Gardens FL 33408-3000 Ph: (561) 444-0710 | Longevity Clinical Ltc Associates Of North Carolina Pllc 635 Statesville Blvd Salisbury NC 28144-2201 Ph: (704) 633-7390 |
| NPI Number | 1154907855 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 3375952559 |
|---|---|
| Medicare Enrollment ID | O20210430000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154907855 | NPI | - | NPPES |
| Provider Name | Sherry L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952675209 PECOS PAC ID: 4587811633 Enrollment ID: I20140502001869 |
| Provider Name | Nickcola Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992112007 PECOS PAC ID: 1456572916 Enrollment ID: I20141027000254 |
| Provider Name | Michelle Deaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396115424 PECOS PAC ID: 9133420110 Enrollment ID: I20151216001345 |
| Provider Name | Theresa C Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528426855 PECOS PAC ID: 8628375755 Enrollment ID: I20160404002261 |
| Provider Name | Valorie M Bogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366005142 PECOS PAC ID: 5496089427 Enrollment ID: I20190626000035 |
| Provider Name | Emily Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876396 PECOS PAC ID: 8426474396 Enrollment ID: I20200824000289 |
| Provider Name | Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265050181 PECOS PAC ID: 7315342441 Enrollment ID: I20210826003226 |
| Provider Name | Whitney Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730858226 PECOS PAC ID: 0143627620 Enrollment ID: I20210927001017 |
| Provider Name | Nicole D Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306481114 PECOS PAC ID: 7719377159 Enrollment ID: I20220413001871 |
| Provider Name | Anthony Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285219733 PECOS PAC ID: 4880050509 Enrollment ID: I20230522002296 |
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Southeast Bariatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 West Henderson Street, Kiser Building, Suite 410, Salisbury, NC 28144 Phone: 704-347-4144 Fax: 704-347-4148 | |
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Northeast Endocrinology-salisbury Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Jake Alexander Blvd W, Suite C, Salisbury, NC 28147 Phone: 704-403-8320 Fax: 704-403-8321 | |
Novant Health Bariatric Solutions Rowan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147 Phone: 704-638-8631 Fax: 704-638-8639 | |
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