St Mary's Medical Clinic,pc. | |
701 E Roosevelt Blvd Bldg 800a Monroe NC 28112 | |
(704) 225-0211 | |
(704) 225-0221 |
Full Name | St Mary's Medical Clinic,pc. |
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Speciality | Clinic/Center |
Location | 701 E Roosevelt Blvd, Monroe, North Carolina |
Authorized Official Name and Position | Awawu E Igbinadolor (PRESIDENT) |
Authorized Official Contact | 7042192147 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Mary's Medical Clinic,pc. 701 E Roosevelt Blvd, Bldg 800a P.o.box 528 Monroe NC 28111-0528 Ph: (704) 225-0211 | St Mary's Medical Clinic,pc. 701 E Roosevelt Blvd Bldg 800a Monroe NC 28112 Ph: (704) 225-0211 |
NPI Number | 1588859953 |
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Provider Enumeration Date | 09/10/2007 |
Last Update Date | 09/10/2007 |
Medicare PECOS PAC ID | 7618058645 |
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Medicare Enrollment ID | O20080116000444 |
Identifier | Type | State | Issuer |
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1588859953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 200001486832 (North Carolina) | Primary |
Provider Name | Awawu E Igbinadolor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386658128 PECOS PAC ID: 9931124302 Enrollment ID: I20051014000123 |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |