| Marlette Family Practice | |
|
5175 Old Clemmons School Road Clemmons NC 27012 | |
| (336) 778-0200 | |
| (336) 778-0202 |
| Full Name | Marlette Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 5175 Old Clemmons School Road, Clemmons, North Carolina |
| Authorized Official Name and Position | Lewis S Thorp (PRESIDENT CEO) |
| Authorized Official Contact | 3367213900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlette Family Practice 5175 Old Clemmons School Road Clemmons NC 27012-9394 Ph: (336) 778-0200 | Marlette Family Practice 5175 Old Clemmons School Road Clemmons NC 27012 Ph: (336) 778-0200 |
| NPI Number | 1871797688 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871797688 | NPI | - | NPPES |
| 2317728W | Other | NC | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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