Roxboro Medpeds | |
796 Doctors Ct Roxboro NC 27573-4571 | |
(336) 598-0002 | |
(336) 599-2159 |
Full Name | Roxboro Medpeds |
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Speciality | Internal Medicine |
Location | 796 Doctors Ct, Roxboro, North Carolina |
Authorized Official Name and Position | Jennifer Clayton Bolton (INSURANCE MANAGER) |
Authorized Official Contact | 3365980002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roxboro Medpeds 796 Doctors Ct Roxboro NC 27573-4571 Ph: (336) 598-0002 | Roxboro Medpeds 796 Doctors Ct Roxboro NC 27573-4571 Ph: (336) 598-0002 |
NPI Number | 1427016138 |
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Provider Enumeration Date | 05/02/2006 |
Last Update Date | 11/30/2009 |
Medicare PECOS PAC ID | 0446144760 |
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Medicare Enrollment ID | O20040209000997 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427016138 | NPI | - | NPPES |
8901102 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34464 (North Carolina) | Primary |
208000000X | Pediatrics | 34464 (North Carolina) | Secondary |
Provider Name | James Winn Short |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215931837 PECOS PAC ID: 3779477096 Enrollment ID: I20100826001243 |
Provider Name | Jennifer Selleck Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245567247 PECOS PAC ID: 1557558046 Enrollment ID: I20101209000761 |
Provider Name | Tangee Renee Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114650272 PECOS PAC ID: 5597138008 Enrollment ID: I20230508001450 |
Freedom House Recovery Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 S Madison Blvd, Ste C1, Roxboro, NC 27573 Phone: 336-599-8366 Fax: 336-322-6168 | |
Person Health Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Ridge Rd, Roxboro, NC 27573 Phone: 336-503-5703 Fax: 336-322-1819 | |
Roxboro Medaccess Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Road, Roxboro, NC 27573 Phone: 336-330-0400 Fax: 336-330-0031 | |
Roxboro Family Medicine & Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |
Carehere A Premise Health Company Ehealth Center In Partnership With L Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10475 Boston Rd, Roxboro, NC 27574 Phone: 336-439-5480 | |
Med First Immediate Care & Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |
Roxboro Family Medicine & Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Rd, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 |