| Rowan Primary Care, Pc | |
|
1406a W Innes St Salisbury NC 28144-2502 | |
| (704) 639-0407 | |
| (704) 639-9599 |
| Full Name | Rowan Primary Care, Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9537283031 |
|---|---|
| Medicare Enrollment ID | O20100907000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659409944 | NPI | - | NPPES |
| 890208L | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
| Provider Name | Parinda Kanaiyalal Fruchtman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831277425 PECOS PAC ID: 2264556661 Enrollment ID: I20100907000589 |
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