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105 Dave Warlick Dr Lincolnton NC 28092-4411 | |
(704) 748-9949 | |
(704) 748-2345 |
Full Name | |
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Speciality | Internal Medicine |
Location | 105 Dave Warlick Dr, Lincolnton, North Carolina |
Authorized Official Name and Position | Ifeanyichukwu Obiora Okafor (PRESIDENT) |
Authorized Official Contact | 7047489949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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105 Dave Warlick Dr Lincolnton NC 28092-4411 Ph: (704) 748-9949 | 105 Dave Warlick Dr Lincolnton NC 28092-4411 Ph: (704) 748-9949 |
NPI Number | 1982885901 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 03/05/2024 |
Medicare PECOS PAC ID | 8022282615 |
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Medicare Enrollment ID | O20111116000697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982885901 | NPI | - | NPPES |
89132W6 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | 200200150 (North Carolina) | Secondary |
Provider Name | Ifeanyichukwu O Okafor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972692366 PECOS PAC ID: 3577630136 Enrollment ID: I20080923000672 |
Provider Name | April Phares |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508410754 PECOS PAC ID: 6002238938 Enrollment ID: I20200623002989 |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Kennedy Dr, Lincolnton, NC 28092 Phone: 704-735-2741 | |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Startown Rd, Lincolnton, NC 28092 Phone: 704-735-1120 Fax: 704-732-6811 | |
Integrated Care Of Greater Hickory, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1228 N Flint St, Lincolnton, NC 28092 Phone: 828-322-5915 |