Peachtree Vascular Specialists, P.c. | |
2817 Reilly St Fort Bragg NC 28310-6118 | |
(910) 907-1035 | |
(910) 907-9468 |
Full Name | Peachtree Vascular Specialists, P.c. |
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Speciality | Clinic/Center |
Location | 2817 Reilly St, Fort Bragg, North Carolina |
Authorized Official Name and Position | Daniel T. Mcdevitt (PRESIDENT) |
Authorized Official Contact | 7709969945 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peachtree Vascular Specialists, P.c. 1035 Southcrest Dr Suite 250 Stockbridge GA 30281-6118 Ph: (770) 996-9945 | Peachtree Vascular Specialists, P.c. 2817 Reilly St Fort Bragg NC 28310-6118 Ph: (910) 907-1035 |
NPI Number | 1366595068 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 04/14/2020 |
Medicare PECOS PAC ID | 6901897362 |
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Medicare Enrollment ID | O20040524000490 |
Identifier | Type | State | Issuer |
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1366595068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Alan Merrill Levy |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1558414276 PECOS PAC ID: 2668579483 Enrollment ID: I20110107000618 |
Provider Name | Daniel Thomas Mcdevitt |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1174676829 PECOS PAC ID: 1759488570 Enrollment ID: I20110126000372 |