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865 Westlake Dr Mount Airy NC 27030-2102 | |
(336) 719-6100 | |
(336) 719-2313 |
Full Name | |
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Speciality | Family Medicine |
Location | 865 Westlake Dr, Mount Airy, North Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
Authorized Official Contact | 7043166081 |
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) 719-6100 | 865 Westlake Dr Mount Airy NC 27030-2102 Ph: (336) 719-6100 |
NPI Number | 1295783108 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 06/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295783108 | NPI | - | NPPES |
890209K | Medicaid | NC | |
CA1315 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northern Hospital Of Surry County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 S South St, Mount Airy, NC 27030 Phone: 336-786-4522 Fax: 336-789-3025 | |
Health Plus By Nurse Practitioners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Hwy 52 North, Mount Airy, NC 27030 Phone: 336-789-6503 Fax: 336-789-6687 | |
Gaps Health Nc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Chandler Hills Dr Ste 105, Mount Airy, NC 27030 Phone: 276-233-0945 | |