Raphamed Pllc | |
935 E Mountain St Ste M Kernersville NC 27284-3238 | |
(336) 416-5944 | |
Not Available |
Full Name | Raphamed Pllc |
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Speciality | Internal Medicine |
Location | 935 E Mountain St Ste M, Kernersville, North Carolina |
Authorized Official Name and Position | Fernando Ariza (OWNER) |
Authorized Official Contact | 3364165944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raphamed Pllc 110 Squires Ct Kernersville NC 27284-9494 Ph: () - | Raphamed Pllc 935 E Mountain St Ste M Kernersville NC 27284-3238 Ph: (336) 416-5944 |
NPI Number | 1821865031 |
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Provider Enumeration Date | 12/07/2023 |
Last Update Date | 12/07/2023 |
Medicare PECOS PAC ID | 4183075484 |
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Medicare Enrollment ID | O20240111001633 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821865031 | NPI | - | NPPES |
Provider Name | Fernando Ariza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699750638 PECOS PAC ID: 5799764056 Enrollment ID: I20040719001423 |
Provider Name | Anita C Coady |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457615569 PECOS PAC ID: 3274783501 Enrollment ID: I20121023000618 |
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