Medical Care Inc | |
1402 Wayne Memorial Dr Goldsboro NC 27534-2235 | |
(919) 735-3311 | |
Not Available |
Full Name | Medical Care Inc |
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Speciality | Family Medicine |
Location | 1402 Wayne Memorial Dr, Goldsboro, North Carolina |
Authorized Official Name and Position | Wilson Egbe Tabe (OWNER) |
Authorized Official Contact | 9197353311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Care Inc 1402 Wayne Memorial Dr Goldsboro NC 27534-2235 Ph: (919) 735-3311 | Medical Care Inc 1402 Wayne Memorial Dr Goldsboro NC 27534-2235 Ph: (919) 735-3311 |
NPI Number | 1962673673 |
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Provider Enumeration Date | 03/20/2008 |
Last Update Date | 08/19/2013 |
Medicare PECOS PAC ID | 0941363394 |
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Medicare Enrollment ID | O20090110000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962673673 | NPI | - | NPPES |
8912923 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2001-01288 (North Carolina) | Primary |
Provider Name | Wilson E Tabe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679551949 PECOS PAC ID: 2264519735 Enrollment ID: I20080408000470 |
Provider Name | Samantha Joanne Criste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003356767 PECOS PAC ID: 1951668128 Enrollment ID: I20171122002144 |
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