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600 S Sycamore St Rose Hill NC 28458-4700 | |
(910) 289-3027 | |
(910) 289-2894 |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 S Sycamore St, Rose Hill, North Carolina |
Authorized Official Name and Position | Kristine M Lewis, Pa-c (ADMINISTRATOR) |
Authorized Official Contact | 9102893027 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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600 South Sycamore Street Po Box 639 Rose Hill NC 28458 Ph: (910) 289-3027 | 600 S Sycamore St Rose Hill NC 28458-4700 Ph: (910) 289-3027 |
NPI Number | 1164503702 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 07/18/2024 |
Medicare PECOS PAC ID | 8224940788 |
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Medicare Enrollment ID | O20031103000570 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164503702 | NPI | - | NPPES |
343914C | Medicaid | NC | |
0107M | Other | NC | BCBS |
343914A | Medicaid | NC |