| Share Clinic | |
|
393 N Main Street Sparta NC 28675 | |
| (336) 372-7575 | |
| (336) 372-7540 |
| Full Name | Share Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 393 N Main Street, Sparta, North Carolina |
| Authorized Official Name and Position | Georgia S Latham (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3365722157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Share Clinic Po Box 1209 393 N Main Street Sparta NC 28675 Ph: (336) 372-7575 | Share Clinic 393 N Main Street Sparta NC 28675 Ph: (336) 372-7575 |
| NPI Number | 1215022207 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215022207 | NPI | - | NPPES |
| 89012PJ | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9300197 (North Carolina) | Primary |
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