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617 Laurel Lake Dr Columbus NC 28722-7401 | |
(864) 457-3838 | |
(864) 560-9532 |
Full Name | |
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Speciality | Family Medicine |
Location | 617 Laurel Lake Dr, Columbus, North Carolina |
Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8645606000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 617 Laurel Lake Dr Columbus NC 28722-7401 Ph: (864) 457-3838 |
NPI Number | 1043528201 |
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Provider Enumeration Date | 09/21/2010 |
Last Update Date | 12/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043528201 | NPI | - | NPPES |
5916511 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Tryon Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2881 Nc Hwy. 108e, Columbus, NC 28722 Phone: 828-894-3494 Fax: 828-894-5864 | |
Foothills Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Mills St, Suite C, Columbus, NC 28722 Phone: 828-894-5627 Fax: 828-894-5879 | |