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903 Randolph St Thomasville NC 27360-5898 | |
(980) 302-9307 | |
(704) 316-9859 |
Full Name | |
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Speciality | Internal Medicine |
Location | 903 Randolph St, Thomasville, North Carolina |
Authorized Official Name and Position | Shala Davis (MANAGED CARE MANAGER) |
Authorized Official Contact | 7043037517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60447 Charlotte NC 28260-0447 Ph: () - | 903 Randolph St Thomasville NC 27360-5898 Ph: (980) 302-9307 |
NPI Number | 1649816273 |
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Provider Enumeration Date | 11/19/2019 |
Last Update Date | 08/17/2021 |
Identifier | Type | State | Issuer |
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1649816273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal 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 | |