| Primary Care Of St. Pauls | |
|
122 E Blue St Saint Pauls NC 28384-1812 | |
| (910) 865-5177 | |
| (910) 865-9400 |
| Full Name | Primary Care Of St. Pauls |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 122 E Blue St, Saint Pauls, North Carolina |
| Authorized Official Name and Position | Laticia Ann Tharrington (OWNER) |
| Authorized Official Contact | 9108655177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of St. Pauls 122 E Blue St Saint Pauls NC 28384-1812 Ph: (910) 865-5177 | Primary Care Of St. Pauls 122 E Blue St Saint Pauls NC 28384-1812 Ph: (910) 865-5177 |
| NPI Number | 1649663030 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649663030 | NPI | - | NPPES |
| 1184694960 | Other | NC | NPI |
| 2592580 | Other | NC | PTAN |
| 7004391 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5000713 (North Carolina) | Primary |
St. Pauls Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-865-3055 | |
The Clinic At Brisson Drug Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Broad St, Saint Pauls, NC 28384 Phone: 910-241-3078 | |
St Pauls Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-241-3042 Fax: 910-241-3462 | |
St Pauls Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-865-3055 | |
St. Pauls Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-738-3764 | |
Three Rivers Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 580 W Mclean St, Saint Pauls, NC 28384 Phone: 910-615-3570 Fax: 910-865-3503 |