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602 S Sutherland Ave Monroe NC 28112-5063 | |
(704) 384-4820 | |
(704) 384-8425 |
Full Name | |
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Speciality | Family Medicine |
Location | 602 S Sutherland Ave, Monroe, North Carolina |
Authorized Official Name and Position | Dinesh S Pai (VP OF OPERATIONS) |
Authorized Official Contact | 7043849104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | 602 S Sutherland Ave Monroe NC 28112-5063 Ph: (704) 384-4820 |
NPI Number | 1639170244 |
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Provider Enumeration Date | 08/04/2005 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
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1639170244 | NPI | - | NPPES |
5901677 | Medicaid | NC | |
017F7 | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |