Primecare Physicians Of Jacksonville, Pllc | |
29 Office Park Dr Suite A Jacksonville NC 28546-3219 | |
(910) 353-3000 | |
(910) 238-4456 |
Full Name | Primecare Physicians Of Jacksonville, Pllc |
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Speciality | Internal Medicine |
Location | 29 Office Park Dr, Jacksonville, North Carolina |
Authorized Official Name and Position | Garrett L Rogers (SOLE OWNER) |
Authorized Official Contact | 9103533000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primecare Physicians Of Jacksonville, Pllc 29 Office Park Dr Suite A Jacksonville NC 28546-3219 Ph: (910) 353-3000 | Primecare Physicians Of Jacksonville, Pllc 29 Office Park Dr Suite A Jacksonville NC 28546-3219 Ph: (910) 353-3000 |
NPI Number | 1528375904 |
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Provider Enumeration Date | 09/08/2010 |
Last Update Date | 09/08/2010 |
Identifier | Type | State | Issuer |
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1528375904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 168380 (North Carolina) | Primary |
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