Mcpc-23, Llc | |
35 Memorial Dr Pinehurst NC 28374-8708 | |
(910) 715-5481 | |
Not Available |
Full Name | Mcpc-23, Llc |
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Speciality | Internal Medicine |
Location | 35 Memorial Dr, Pinehurst, North Carolina |
Authorized Official Name and Position | Mickey Foster (CEO) |
Authorized Official Contact | 9107154473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcpc-23, Llc 35 Memorial Dr Pinehurst NC 28374-8708 Ph: () - | Mcpc-23, Llc 35 Memorial Dr Pinehurst NC 28374-8708 Ph: (910) 715-5481 |
NPI Number | 1669123931 |
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Provider Enumeration Date | 01/18/2022 |
Last Update Date | 01/18/2022 |
Medicare PECOS PAC ID | 6002292513 |
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Medicare Enrollment ID | O20221007000114 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669123931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Jaspaul S Jawanda |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1174579726 PECOS PAC ID: 6709850449 Enrollment ID: I20040819001354 |
Provider Name | Gretchen S Arnoczy |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1326264839 PECOS PAC ID: 4385793975 Enrollment ID: I20090602000119 |
Provider Name | Madonna A. Biritwum |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295975779 PECOS PAC ID: 5193995850 Enrollment ID: I20220805002879 |
Provider Name | Kristina M Catania |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1053765990 PECOS PAC ID: 7315230398 Enrollment ID: I20221004003546 |
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