Shepherd's Care Medical Clinic | |
1303 Water Plant Rd Zebulon NC 27597-8615 | |
(919) 404-2474 | |
(919) 375-4150 |
Full Name | Shepherd's Care Medical Clinic |
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Speciality | Clinic/Center |
Location | 1303 Water Plant Rd, Zebulon, North Carolina |
Authorized Official Name and Position | Regina Harrell (CEO) |
Authorized Official Contact | 9198231618 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shepherd's Care Medical Clinic 1303 Water Plant Rd Zebulon NC 27597-8615 Ph: (919) 404-2474 | Shepherd's Care Medical Clinic 1303 Water Plant Rd Zebulon NC 27597-8615 Ph: (919) 404-2474 |
NPI Number | 1528584588 |
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Provider Enumeration Date | 08/21/2017 |
Last Update Date | 01/08/2024 |
Medicare PECOS PAC ID | 2668881426 |
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Medicare Enrollment ID | O20210506002015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528584588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Regina R Harrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780198572 PECOS PAC ID: 4284043050 Enrollment ID: I20210520002442 |
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