| Prime Care Physicians Pa | |
|
2607 Medical Office Pl Ste B Goldsboro NC 27534-9437 | |
| (919) 735-7580 | |
| (919) 735-1475 |
| Full Name | Prime Care Physicians Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2607 Medical Office Pl Ste B, Goldsboro, North Carolina |
| Authorized Official Name and Position | Garrett Lee Rogers (OWNER) |
| Authorized Official Contact | 9197357580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Physicians Pa 2607 Medical Office Pl Ste B Goldsboro NC 27534-9437 Ph: (919) 735-7580 | Prime Care Physicians Pa 2607 Medical Office Pl Ste B Goldsboro NC 27534-9437 Ph: (919) 735-7580 |
| NPI Number | 1700976701 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 11/17/2009 |
| Medicare PECOS PAC ID | 9830265578 |
|---|---|
| Medicare Enrollment ID | O20080904000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700976701 | NPI | - | NPPES |
| 790286H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Garrett L Rogers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093711962 PECOS PAC ID: 5092715177 Enrollment ID: I20070711000317 |
| Provider Name | Leonardo Montuya Zara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194829499 PECOS PAC ID: 4183767494 Enrollment ID: I20100209000683 |
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