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105 Southwest First Street Pinetops NC 27864 | |
(252) 827-1550 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 105 Southwest First Street, Pinetops, North Carolina |
Authorized Official Name and Position | John Hume Faulkner (PRESIDENT) |
Authorized Official Contact | 2528271550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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105-c Southwest First St Po Box 685 Pinetops NC 27864 Ph: () - | 105 Southwest First Street Pinetops NC 27864 Ph: (252) 827-1550 |
NPI Number | 1457482531 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
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1457482531 | NPI | - | NPPES |
348950A&C | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 68222 (North Carolina) | Primary |