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120 Mac Dougall Dr West End NC 27376-9342 | |
(910) 673-7467 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 120 Mac Dougall Dr, West End, North Carolina |
Authorized Official Name and Position | Joseph Robert Barrett (OWNER) |
Authorized Official Contact | 9106737467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 526 West End NC 27376-0526 Ph: (910) 673-7467 | 120 Mac Dougall Dr West End NC 27376-9342 Ph: (910) 673-7467 |
NPI Number | 1518587443 |
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Provider Enumeration Date | 04/21/2020 |
Last Update Date | 05/14/2020 |
Identifier | Type | State | Issuer |
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1518587443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |