Longleaf Wellness Pllc | |
1090 E Central Ave Raeford NC 28376-3039 | |
(910) 875-4545 | |
(910) 875-8972 |
Full Name | Longleaf Wellness Pllc |
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Speciality | Family Medicine |
Location | 1090 E Central Ave, Raeford, North Carolina |
Authorized Official Name and Position | Margaret Anne Monroe (PRESIDENT) |
Authorized Official Contact | 9108754545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Longleaf Wellness Pllc 1090 E Central Ave Raeford NC 28376-3039 Ph: (910) 875-4545 | Longleaf Wellness Pllc 1090 E Central Ave Raeford NC 28376-3039 Ph: (910) 875-4545 |
NPI Number | 1821643172 |
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Provider Enumeration Date | 08/05/2019 |
Last Update Date | 08/05/2019 |
Medicare PECOS PAC ID | 3072844836 |
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Medicare Enrollment ID | O20191008003408 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821643172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Margaret Anne Monroe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871027524 PECOS PAC ID: 2466729199 Enrollment ID: I20170530001618 |
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