State Health Plan Primary Care Center | |
121 Park St Canton NC 28716-4319 | |
(828) 235-8414 | |
(828) 235-9135 |
Full Name | State Health Plan Primary Care Center |
---|---|
Speciality | Family Medicine |
Location | 121 Park St, Canton, North Carolina |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
State Health Plan Primary Care Center 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | State Health Plan Primary Care Center 121 Park St Canton NC 28716-4319 Ph: (828) 235-8414 |
NPI Number | 1013943646 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 08/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013943646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Evergreen Packaging Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Park St, Canton, NC 28716 Phone: 828-235-3023 Fax: 828-235-9119 |