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702 S Main St Randleman NC 27317-2102 | |
| (336) 545-1515 | |
| (336) 545-4505 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 702 S Main St, Randleman, North Carolina |
| Authorized Official Name and Position | Jerome I Davis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3365451515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
702 S Main St Randleman NC 27317-2102 Ph: (336) 545-1515 | 702 S Main St Randleman NC 27317-2102 Ph: (336) 545-1515 |
| NPI Number | 1881998748 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881998748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
Randleman Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 S Main St, Randleman, NC 27317 Phone: 336-498-8500 Fax: 336-498-8522 | |
Pine Haven Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 West Academy St, Randleman, NC 27317 Phone: 336-498-1200 Fax: 336-498-1206 |