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4811 Nc Highway 50 Maple Hill NC 28454-8153 | |
(910) 259-6444 | |
(910) 259-6659 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4811 Nc Highway 50, Maple Hill, North Carolina |
Authorized Official Name and Position | Leeann Amann (ADMINISTRATOR) |
Authorized Official Contact | 9102596973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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301 S Campbell St Burgaw NC 28425-5011 Ph: (910) 259-6973 | 4811 Nc Highway 50 Maple Hill NC 28454-8153 Ph: (910) 259-6444 |
NPI Number | 1356339154 |
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Provider Enumeration Date | 10/06/2005 |
Last Update Date | 01/21/2020 |
Medicare PECOS PAC ID | 0345131579 |
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Medicare Enrollment ID | O20180420000833 |
Identifier | Type | State | Issuer |
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1356339154 | NPI | - | NPPES |
344622AC | Medicaid | NC | |
0176J | Other | BCBS |