| Mill Creek Family Practice, Pa | |
|
16150 Us Highway 17 N Ste C Hampstead NC 28443-6302 | |
| (910) 270-2515 | |
| (910) 270-3544 |
| Full Name | Mill Creek Family Practice, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 16150 Us Highway 17 N Ste C, Hampstead, North Carolina |
| Authorized Official Name and Position | Joseph S Farmer (PRESIDENT) |
| Authorized Official Contact | 9102702515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Creek Family Practice, Pa 16150 Us Highway 17 N Ste C Hampstead NC 28443-6302 Ph: (910) 270-2515 | Mill Creek Family Practice, Pa 16150 Us Highway 17 N Ste C Hampstead NC 28443-6302 Ph: (910) 270-2515 |
| NPI Number | 1700228806 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Medicare PECOS PAC ID | 1557596731 |
|---|---|
| Medicare Enrollment ID | O20170228001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700228806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Amber Lynn Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366096521 PECOS PAC ID: 0840522017 Enrollment ID: I20191022000854 |
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