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1122 Randolph St Thomasville NC 27360-5175 | |
(336) 474-3433 | |
(336) 474-1052 |
Full Name | |
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Speciality | Family Medicine |
Location | 1122 Randolph St, Thomasville, North Carolina |
Authorized Official Name and Position | Geoffrey K Gardner (VP NMG FINANCE) |
Authorized Official Contact | 7043847605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 751803 Charlotte NC 28275-1803 Ph: (336) 474-3433 | 1122 Randolph St Thomasville NC 27360-5175 Ph: (336) 474-3433 |
NPI Number | 1295170207 |
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Provider Enumeration Date | 05/03/2013 |
Last Update Date | 07/15/2015 |
Identifier | Type | State | Issuer |
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1295170207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cloniger Dr, Thomasville, NC 27360 Phone: 336-870-2476 Fax: 336-313-4289 | |