Stmd Llc | |
59 Morningside Dr Brevard NC 28712-3544 | |
(828) 384-1400 | |
(828) 883-3331 |
Full Name | Stmd Llc |
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Speciality | Internal Medicine |
Location | 59 Morningside Dr, Brevard, North Carolina |
Authorized Official Name and Position | Stewart Alan Trimble (OWNER) |
Authorized Official Contact | 8283841400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stmd Llc 59 Morningside Dr Brevard NC 28712-3544 Ph: (828) 384-1400 | Stmd Llc 59 Morningside Dr Brevard NC 28712-3544 Ph: (828) 384-1400 |
NPI Number | 1750560504 |
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Provider Enumeration Date | 10/29/2007 |
Last Update Date | 08/06/2019 |
Medicare PECOS PAC ID | 1052400827 |
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Medicare Enrollment ID | O20071130000475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750560504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Stewart A Trimble |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801848650 PECOS PAC ID: 3971607672 Enrollment ID: I20070406000382 |
Provider Name | Jennifer Ann Maybee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679294045 PECOS PAC ID: 9830565670 Enrollment ID: I20221019000256 |
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