Full Name | |
---|---|
Speciality | Family Medicine |
Location | 104 Rice St, Hamlet, North Carolina |
Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
Authorized Official Contact | 2395983131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | 104 Rice St Hamlet NC 28345-3304 Ph: (910) 582-6712 |
NPI Number | 1043589815 |
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Provider Enumeration Date | 12/22/2011 |
Last Update Date | 11/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043589815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Tarheel Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 W Main St, Ste A, Hamlet, NC 28345 Phone: 910-582-2696 Fax: 910-582-2640 |