Table Rock Family Medicine | |
301 Linville Street Glen Alpine NC 28628 | |
(828) 584-2481 | |
(828) 584-8371 |
Full Name | Table Rock Family Medicine |
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Speciality | Family Medicine |
Location | 301 Linville Street, Glen Alpine, North Carolina |
Authorized Official Name and Position | Laura B Justice (OFFICE MANAGER) |
Authorized Official Contact | 8285847258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Table Rock Family Medicine Po Box 837 Glen Alpine NC 28628-0837 Ph: (828) 584-2481 | Table Rock Family Medicine 301 Linville Street Glen Alpine NC 28628 Ph: (828) 584-2481 |
NPI Number | 1558328781 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558328781 | NPI | - | NPPES |
89011WW | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 90044 (North Carolina) | Primary |