Mebane Medical Clinic Pa | |
1242- C South Fifth Street Mebane NC 27302 | |
(919) 563-3007 | |
(919) 563-1993 |
Full Name | Mebane Medical Clinic Pa |
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Speciality | Family Medicine |
Location | 1242- C South Fifth Street, Mebane, North Carolina |
Authorized Official Name and Position | Deanna Craven Jonse (MD/PRACTICE OWNER) |
Authorized Official Contact | 9195633007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mebane Medical Clinic Pa 1242c S Fifth St Mebane NC 27302-9756 Ph: (919) 563-3007 | Mebane Medical Clinic Pa 1242- C South Fifth Street Mebane NC 27302 Ph: (919) 563-3007 |
NPI Number | 1033398599 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 09/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033398599 | NPI | - | NPPES |
8946923 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 207Q00000X (North Carolina) | Primary |
Bliss Medical Group Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 132 Millstead Dr, Mebane, NC 27302 Phone: 919-563-4444 Fax: 919-563-4442 | |