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723 Ayersville Rd Madison NC 27025-1505 | |
(336) 427-0281 | |
(336) 427-8084 |
Full Name | |
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Speciality | Family Medicine |
Location | 723 Ayersville Rd, Madison, North Carolina |
Authorized Official Name and Position | Leonard Robert Nyland (OWNER) |
Authorized Official Contact | 3364270281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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723 Ayersville Rd Madison NC 27025-1505 Ph: (336) 427-0281 | 723 Ayersville Rd Madison NC 27025-1505 Ph: (336) 427-0281 |
NPI Number | 1568629954 |
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Provider Enumeration Date | 05/22/2008 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
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1568629954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 147952 (North Carolina) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |