| |
4459 Arendell St Ste 1 Morehead City NC 28557-2795 | |
(252) 727-1709 | |
(252) 727-1710 |
Full Name | |
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Speciality | General Practice |
Location | 4459 Arendell St, Morehead City, North Carolina |
Authorized Official Name and Position | Marcelo R Perez-montes (PRESIDENT) |
Authorized Official Contact | 2527271709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4459 Arendell St Ste 1 Morehead City NC 28557-2795 Ph: (252) 727-1709 | 4459 Arendell St Ste 1 Morehead City NC 28557-2795 Ph: (252) 727-1709 |
NPI Number | 1508036096 |
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Provider Enumeration Date | 03/11/2008 |
Last Update Date | 09/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508036096 | NPI | - | NPPES |
5900539 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2005-00424 (North Carolina) | Primary |
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