| |
711 National Hwy Suite 100 Thomasville NC 27360 | |
(336) 475-2000 | |
(336) 475-2008 |
Full Name | |
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Speciality | Internal Medicine |
Location | 711 National Hwy, Thomasville, North Carolina |
Authorized Official Name and Position | William Robert Bryant (CFO) |
Authorized Official Contact | 3368786143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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624 Quaker Ln Ste. 207c High Point NC 27262-3832 Ph: (336) 883-2500 | 711 National Hwy Suite 100 Thomasville NC 27360 Ph: (336) 475-2000 |
NPI Number | 1932301272 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932301272 | NPI | - | NPPES |
0209Y | Other | BCBS | |
89015VP | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cloniger Dr, Thomasville, NC 27360 Phone: 336-870-2476 Fax: 336-313-4289 | |