|
| |
|
5175 Old Clemmons School Road Clemmons NC 27012 | |
| (336) 778-0200 | |
| (336) 778-0202 |
| Full Name | |
|---|---|
| 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 |
|---|---|
5175 Old Clemmons School Road Clemmons NC 27012-9394 Ph: (336) 778-0200 | 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 |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-703-4273 Fax: 336-661-4954 | |
Kids Best Nutrition & Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 Towncenter Dr Ste 810, Clemmons, NC 27012 Phone: 980-533-0993 | |
Gastroenterology Associates Of The Piedmont, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7126 Village Medical Cir, Clemmons, NC 27012 Phone: 336-448-2427 | |
Clemmons Dermatology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2515 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-416-4093 |