Pc Associates, Llc | |
1002 Spotsylvania St New Athens IL 62264-1597 | |
(618) 475-3731 | |
(618) 475-3732 |
Full Name | Pc Associates, Llc |
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Speciality | Family Medicine |
Location | 1002 Spotsylvania St, New Athens, Illinois |
Authorized Official Name and Position | Lisa K. Mcdonald (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 6182574644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pc Associates, Llc 4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 Ph: (618) 257-4644 | Pc Associates, Llc 1002 Spotsylvania St New Athens IL 62264-1597 Ph: (618) 475-3731 |
NPI Number | 1801109004 |
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Provider Enumeration Date | 07/16/2010 |
Last Update Date | 02/15/2013 |
Identifier | Type | State | Issuer |
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1801109004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |