| Theramed Health, Pllc | |
|
1314 Wayne Memorial Dr Goldsboro NC 27534-2252 | |
| (919) 988-9889 | |
| Not Available |
| Full Name | Theramed Health, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1314 Wayne Memorial Dr, Goldsboro, North Carolina |
| Authorized Official Name and Position | Lakeisha Lewis (FNP) |
| Authorized Official Contact | 2522864192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theramed Health, Pllc 1314 Wayne Memorial Dr Goldsboro NC 27534-2252 Ph: (919) 439-6222 | Theramed Health, Pllc 1314 Wayne Memorial Dr Goldsboro NC 27534-2252 Ph: (919) 988-9889 |
| NPI Number | 1871275313 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 12/02/2023 |
| Medicare PECOS PAC ID | 6103270327 |
|---|---|
| Medicare Enrollment ID | O20230921002737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871275313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lakeisha Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477110971 PECOS PAC ID: 8921337726 Enrollment ID: I20190904000447 |
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