Rowan Primary Care, Pc | |
1406a W Innes St Salisbury NC 28144-2502 | |
(704) 639-0407 | |
(704) 639-9599 |
Full Name | Rowan Primary Care, Pc |
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Speciality | Clinic/Center |
Location | 1406a W Innes St, Salisbury, North Carolina |
Authorized Official Name and Position | Parinda Kanaiyalal Fruchtman (PRESIDENT) |
Authorized Official Contact | 7046390407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rowan Primary Care, Pc 1406a W Innes St Salisbury NC 28144-2502 Ph: (704) 639-0407 | Rowan Primary Care, Pc 1406a W Innes St Salisbury NC 28144-2502 Ph: (704) 639-0407 |
NPI Number | 1659409944 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 9537283031 |
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Medicare Enrollment ID | O20100907000560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659409944 | NPI | - | NPPES |
890208L | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
Provider Name | Parinda Kanaiyalal Fruchtman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831277425 PECOS PAC ID: 2264556661 Enrollment ID: I20100907000589 |
Copperfield Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |