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198 Nc Highway 45 N Plymouth NC 27962-9232 | |
(252) 793-3023 | |
(252) 791-3159 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 198 Nc Highway 45 N, Plymouth, North Carolina |
Authorized Official Name and Position | Kathleen D Jones (HEALTH DIRECTOR) |
Authorized Official Contact | 2527933023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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198 Nc Highway 45 N Plymouth NC 27962-9232 Ph: (252) 793-3023 | 198 Nc Highway 45 N Plymouth NC 27962-9232 Ph: (252) 793-3023 |
NPI Number | 1235283847 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 09/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235283847 | NPI | - | NPPES |
3404389 | Medicaid | NC |
Martin Tyrrell Washington District Health Dept Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Nc Highway 45 N, Plymouth, NC 27962 Phone: 252-791-3119 Fax: 252-791-3159 | |