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3141 Garden Rd Burlington NC 27215-9786 | |
(336) 584-0108 | |
(336) 584-8835 |
Full Name | |
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Speciality | Family Medicine |
Location | 3141 Garden Rd, Burlington, North Carolina |
Authorized Official Name and Position | Kenneth K Boggs (CFO / TREASURER) |
Authorized Official Contact | 3368328005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 N Elm St Cone Health, Asb, Suite 201 Greensboro NC 27401-1004 Ph: (336) 832-8005 | 3141 Garden Rd Burlington NC 27215-9786 Ph: (336) 584-0108 |
NPI Number | 1194007583 |
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Provider Enumeration Date | 09/13/2011 |
Last Update Date | 10/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194007583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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