| Park Hill Medicine, Pa | |
|
510 Park Hill Court Hendersonville NC 28739-4265 | |
| (828) 697-1177 | |
| Not Available |
| Full Name | Park Hill Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 Park Hill Court, Hendersonville, North Carolina |
| Authorized Official Name and Position | Bonnie Wooton (OFFICE ADM) |
| Authorized Official Contact | 8286971177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Hill Medicine, Pa 510 Park Hill Court Hendersonville NC 28739-4265 Ph: (828) 697-1177 | Park Hill Medicine, Pa 510 Park Hill Court Hendersonville NC 28739-4265 Ph: (828) 697-1177 |
| NPI Number | 1598194284 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/06/2013 |
| Medicare PECOS PAC ID | 2062642747 |
|---|---|
| Medicare Enrollment ID | O20140225000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598194284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lateef I Abumoussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346264900 PECOS PAC ID: 8527147396 Enrollment ID: I20080505000595 |
| Provider Name | Sarah Elizabeth Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548714223 PECOS PAC ID: 1355613282 Enrollment ID: I20170828000675 |
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