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605 N C 120 Highway Mooresboro NC 28114-6713 | |
(828) 453-0703 | |
(828) 453-0835 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 605 N C 120 Highway, Mooresboro, North Carolina |
Authorized Official Name and Position | David M. Bixler (PRESIDENT & CEO) |
Authorized Official Contact | 8282865000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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605 N C 120 Highway Mooresboro NC 28114-6713 Ph: (828) 453-0703 | 605 N C 120 Highway Mooresboro NC 28114-6713 Ph: (828) 453-0703 |
NPI Number | 1821191875 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 07/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821191875 | NPI | - | NPPES |
0251G | Other | NC | BCBS |
890251G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |