Powell Memorial Clinic | |
11180 Finch Avenue Middlesex NC 27557 | |
(252) 235-2298 | |
(252) 399-8829 |
Full Name | Powell Memorial Clinic |
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Speciality | Family Medicine |
Location | 11180 Finch Avenue, Middlesex, North Carolina |
Authorized Official Name and Position | Richard E. Hudson (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2523998139 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Powell Memorial Clinic 11180 Finch Avenue P.o. Box 879 Middlesex NC 27557-0879 Ph: (252) 235-2298 | Powell Memorial Clinic 11180 Finch Avenue Middlesex NC 27557 Ph: (252) 235-2298 |
NPI Number | 1962538447 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 09/07/2007 |
Identifier | Type | State | Issuer |
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1962538447 | NPI | - | NPPES |
0156L | Other | NC | NC BC PROVIDER NO. |
7901436 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |