| Shoeheel Medical Arts Inc | |
|
102 Pine Street Maxton NC 28364-1262 | |
| (910) 844-5681 | |
| (910) 844-5650 |
| Full Name | Shoeheel Medical Arts Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 102 Pine Street, Maxton, North Carolina |
| Authorized Official Name and Position | James Michael Sullivan (ADMINISTRATOR) |
| Authorized Official Contact | 9108445681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoeheel Medical Arts Inc 102 Pine Street Maxton NC 28364-1262 Ph: (910) 844-5681 | Shoeheel Medical Arts Inc 102 Pine Street Maxton NC 28364-1262 Ph: (910) 844-5681 |
| NPI Number | 1508947599 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508947599 | NPI | - | NPPES |
| 343878A | Medicaid | NC | |
| 343878C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
Southeastern Medical Clinic Maxton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22401 Andrew Jackson Hwy, Maxton, NC 28364 Phone: 910-272-3051 Fax: 910-738-3764 | |
Southeastern Medical Clinic Maxton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22401 Andrew Jackson Hwy, Maxton, NC 28364 Phone: 910-844-2004 Fax: 910-844-3798 | |
Maxton Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W. Martin Luther King Jr. Dr., Maxton, NC 28364 Phone: 910-844-4077 Fax: 910-844-5840 |