| The Earlene Clinic, Pllc | |
|
775 Sun Rd Aberdeen NC 28315-2130 | |
| (910) 517-8080 | |
| (888) 275-7024 |
| Full Name | The Earlene Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 775 Sun Rd, Aberdeen, North Carolina |
| Authorized Official Name and Position | Elizabeth G Bailey (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9105178080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Earlene Clinic, Pllc 775 Sun Rd Aberdeen NC 28315-2130 Ph: (910) 517-8080 | The Earlene Clinic, Pllc 775 Sun Rd Aberdeen NC 28315-2130 Ph: (910) 517-8080 |
| NPI Number | 1437920030 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 8527500305 |
|---|---|
| Medicare Enrollment ID | O20240607002067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437920030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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