Internal Medicine And Primary Care | |
31 Office Park Dr Jacksonville NC 28546-3219 | |
(910) 346-5016 | |
(910) 577-4987 |
Full Name | Internal Medicine And Primary Care |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 31 Office Park Dr, Jacksonville, North Carolina |
Authorized Official Name and Position | Libby Scott (PRACTICE DIRECTOR) |
Authorized Official Contact | 9105772533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine And Primary Care 241 New River Dr Jacksonville NC 28540-5928 Ph: (910) 577-4753 | Internal Medicine And Primary Care 31 Office Park Dr Jacksonville NC 28546-3219 Ph: (910) 346-5016 |
NPI Number | 1063505949 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 03/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063505949 | NPI | - | NPPES |
89013R6 | Medicaid | NC | |
013R6 | Other | NC | BC VIRGINIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | AS0039 (North Carolina) | Primary |
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