| Open Water Medical, Pa | |
|
109 South Vance St Sanford NC 27330 | |
| (919) 776-4040 | |
| (919) 776-4043 |
| Full Name | Open Water Medical, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 109 South Vance St, Sanford, North Carolina |
| Authorized Official Name and Position | Kerry A Willis (PRESIDENT) |
| Authorized Official Contact | 2527237233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Water Medical, Pa 1620 C Live Oak St Beaufort NC 28516 Ph: (252) 728-5737 | Open Water Medical, Pa 109 South Vance St Sanford NC 27330 Ph: (919) 776-4040 |
| NPI Number | 1760921613 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760921613 | NPI | - | NPPES |
| 890159M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30580 (North Carolina) | Primary |
Brick City Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Chatham St, Sanford, NC 27330 Phone: 919-776-7725 Fax: 919-776-0511 | |
Mcpc-8, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 S Horner Blvd, Sanford, NC 27332 Phone: 919-842-3570 Fax: 919-842-5113 | |
Central Carolina Family Care South Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 Carthage St Ste B, Sanford, NC 27330 Phone: 919-775-2304 Fax: 919-775-4050 | |
Carolina Pines Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1688 S Horner Blvd, Sanford, NC 27330 Phone: 919-718-1679 | |
Carolina Anti-aging & Wellness Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 Carthage St, Sanford, NC 27330 Phone: 919-774-0502 Fax: 919-774-0505 | |
Mcpc-8, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2919 Beechtree Dr, Sanford, NC 27330 Phone: 919-897-2260 Fax: 919-897-2261 | |
Central Carolina Community Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2412 Wilkins Dr, Sanford, NC 27330 Phone: 919-776-6000 Fax: 919-776-1751 |