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711 National Hwy Ste 500 Thomasville NC 27360-2669 | |
(336) 475-9164 | |
(336) 475-6619 |
Full Name | |
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Speciality | Family Medicine |
Location | 711 National Hwy Ste 500, Thomasville, North Carolina |
Authorized Official Name and Position | Russell Mars Howerton (SR VP NETWORK PHYS & HS CMO) |
Authorized Official Contact | 3367161331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Kimel Forest Dr Winston Salem NC 27103-6074 Ph: (336) 716-1331 | 711 National Hwy Ste 500 Thomasville NC 27360-2669 Ph: (336) 475-9164 |
NPI Number | 1073822029 |
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Provider Enumeration Date | 09/24/2010 |
Last Update Date | 11/29/2023 |
Identifier | Type | State | Issuer |
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1073822029 | NPI | - | NPPES |
5916539 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cloniger Dr, Thomasville, NC 27360 Phone: 336-870-2476 Fax: 336-313-4289 | |