| South Point Family Practice | |
|
159 E Dallas Rd Stanley NC 28164-2052 | |
| (704) 263-0300 | |
| (704) 263-1873 |
| Full Name | South Point Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 159 E Dallas Rd, Stanley, North Carolina |
| Authorized Official Name and Position | David M Oconnor (CFO) |
| Authorized Official Contact | 7048342133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Point Family Practice 159 E Dallas Rd Stanley NC 28164-2052 Ph: (704) 263-0300 | South Point Family Practice 159 E Dallas Rd Stanley NC 28164-2052 Ph: (704) 263-0300 |
| NPI Number | 1932388568 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932388568 | NPI | - | NPPES |
| 5905652 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 E College St, Stanley, NC 28164 Phone: 704-874-9005 | |
James S Forrester Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 S Highway 27, Stanley, NC 28164 Phone: 704-263-4716 Fax: 704-263-8169 | |
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Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 S Main St, Stanley, NC 28164 Phone: 704-874-9005 |