Richter Family Medicine And Wellness | |
5500 W Friendly Ave Ste 201 Greensboro NC 27410-4368 | |
(336) 324-8011 | |
Not Available |
Full Name | Richter Family Medicine And Wellness |
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Speciality | Family Medicine |
Location | 5500 W Friendly Ave Ste 201, Greensboro, North Carolina |
Authorized Official Name and Position | Karen Richter (OWNER) |
Authorized Official Contact | 3363248011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richter Family Medicine And Wellness 1102 Lakewood Dr Greensboro NC 27410-4438 Ph: (336) 324-8011 | Richter Family Medicine And Wellness 5500 W Friendly Ave Ste 201 Greensboro NC 27410-4368 Ph: (336) 324-8011 |
NPI Number | 1104315654 |
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Provider Enumeration Date | 05/09/2018 |
Last Update Date | 05/09/2018 |
Medicare PECOS PAC ID | 8325394554 |
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Medicare Enrollment ID | O20181102001390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104315654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9500434 (North Carolina) | Primary |
Provider Name | Karen L Richter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942223623 PECOS PAC ID: 6204818917 Enrollment ID: I20040607000022 |
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