| Swetang Patel, Md, Pa | |
|
2587 Henderson Dr Jacksonville NC 28546-5253 | |
| (910) 938-3200 | |
| (910) 938-3043 |
| Full Name | Swetang Patel, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2587 Henderson Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Swetang M Patel (OWNER) |
| Authorized Official Contact | 9109383200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swetang Patel, Md, Pa 2587 Henderson Dr Jacksonville NC 28546-5253 Ph: (910) 938-3200 | Swetang Patel, Md, Pa 2587 Henderson Dr Jacksonville NC 28546-5253 Ph: (910) 938-3200 |
| NPI Number | 1235143231 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 05/06/2008 |
| Medicare PECOS PAC ID | 7719981919 |
|---|---|
| Medicare Enrollment ID | O20060830000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235143231 | NPI | - | NPPES |
| 142J3 | Other | NC | BCBS OF NC |
| 5904083 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006-00567 (North Carolina) | Primary |
| Provider Name | Swetang M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164436606 PECOS PAC ID: 5092719294 Enrollment ID: I20060830000439 |
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