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4355 Hickory Blvd Upper Suite Granite Falls NC 28630-1992 | |
(828) 757-5060 | |
(828) 757-5064 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4355 Hickory Blvd, Granite Falls, North Carolina |
Authorized Official Name and Position | Rebecca T Smith (VP/ COO/CNO) |
Authorized Official Contact | 8287575100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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322 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5702 Ph: (828) 757-5965 | 4355 Hickory Blvd Upper Suite Granite Falls NC 28630-1992 Ph: (828) 757-5060 |
NPI Number | 1811902349 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 07/29/2015 |
Identifier | Type | State | Issuer |
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1811902349 | NPI | - | NPPES |
5903081 | Medicaid | NC | |
DF3472 | Other | NC | RR MEDICARE |
017PK | Other | NC | BCBS |