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304 Mountain View Rd King NC 27021-8768 | |
(336) 983-6898 | |
(336) 983-6921 |
Full Name | |
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Speciality | Family Medicine |
Location | 304 Mountain View Rd, King, North Carolina |
Authorized Official Name and Position | Lewis S Thorp (PRESIDENT/CEO) |
Authorized Official Contact | 3367213900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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304 Mountainview Road King NC 27021-2468 Ph: (336) 983-6898 | 304 Mountain View Rd King NC 27021-8768 Ph: (336) 983-6898 |
NPI Number | 1588657605 |
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Provider Enumeration Date | 08/24/2005 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
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1588657605 | NPI | - | NPPES |
2317728U | Other | NC | MEDICARE GROUP NUMBER |
5905989 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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