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2076 Highway 69 Hayesville NC 28904 | |
(828) 389-1617 | |
(828) 389-1640 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2076 Highway 69, Hayesville, North Carolina |
Authorized Official Name and Position | Alan Ray Ball (OWNER MANAGER PROVIDER) |
Authorized Official Contact | 8283891617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2076 Highway 69 Hayesville NC 28904 Ph: (828) 389-1617 | 2076 Highway 69 Hayesville NC 28904 Ph: (828) 389-1617 |
NPI Number | 1972593002 |
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Provider Enumeration Date | 10/28/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972593002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
Phoenix Urgent Care,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2076 Us 69, Hayesville, NC 28904 Phone: 828-389-1617 Fax: 828-389-1640 | |