| Primary & Immediate Care Of The Pines, Llc | |
|
211 Bonnie Brook Rd Aberdeen NC 28315 | |
| (910) 716-0099 | |
| (910) 405-1359 |
| Full Name | Primary & Immediate Care Of The Pines, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 Bonnie Brook Rd, Aberdeen, North Carolina |
| Authorized Official Name and Position | Bertha Taylor-miller (NP) |
| Authorized Official Contact | 9107160099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary & Immediate Care Of The Pines, Llc 211 Bonnie Brook Rd Aberdeen NC 28315-3125 Ph: (910) 716-0099 | Primary & Immediate Care Of The Pines, Llc 211 Bonnie Brook Rd Aberdeen NC 28315 Ph: (910) 716-0099 |
| NPI Number | 1699273219 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 3375805682 |
|---|---|
| Medicare Enrollment ID | O20180327001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699273219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bertha Taylor-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285690222 PECOS PAC ID: 4284628751 Enrollment ID: I20040408001384 |
| Provider Name | Meagan B Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356833958 PECOS PAC ID: 0446500458 Enrollment ID: I20180912000237 |
| Provider Name | Nicola Jane Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881313120 PECOS PAC ID: 3173908191 Enrollment ID: I20220912002540 |
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