| Main Street Family Practice Of China Grove Pc | |
|
302 S Main St China Grove NC 28023-2471 | |
| (704) 857-8769 | |
| (704) 857-8779 |
| Full Name | Main Street Family Practice Of China Grove Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 302 S Main St, China Grove, North Carolina |
| Authorized Official Name and Position | Kim Purcell-reid (OWNER) |
| Authorized Official Contact | 7048578769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Practice Of China Grove Pc 302 S Main St China Grove NC 28023-2471 Ph: (704) 857-8769 | Main Street Family Practice Of China Grove Pc 302 S Main St China Grove NC 28023-2471 Ph: (704) 857-8769 |
| NPI Number | 1619279247 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 0941472021 |
|---|---|
| Medicare Enrollment ID | O20111014000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619279247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy L Dagenhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376597823 PECOS PAC ID: 6305946245 Enrollment ID: I20070707000048 |
| Provider Name | Alvin Abaqueta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235102187 PECOS PAC ID: 8628105277 Enrollment ID: I20100429001195 |
| Provider Name | Maeghan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871256743 PECOS PAC ID: 3971962440 Enrollment ID: I20230630000399 |
China Grove Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 E Thom St, China Grove, NC 28023 Phone: 704-792-2245 Fax: 704-792-2250 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1965 S Us 29 Hwy, China Grove, NC 28023 Phone: 704-855-8338 Fax: 704-855-8339 | |
Main Street Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Main Street, China Grove, NC 28023 Phone: 704-857-8769 Fax: 704-857-8779 | |
South Rowan Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 E Centerview St, China Grove, NC 28023 Phone: 704-855-2400 Fax: 704-857-1836 | |
South Rowan Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 E Centerview St, China Grove, NC 28023 Phone: 704-855-2400 Fax: 704-857-1836 | |
Cabarrus Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 S Us 29 Hwy, China Grove, NC 28023 Phone: 704-403-6800 |