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1224 W Roosevelt Blvd Monroe NC 28110-2820 | |
(704) 296-4800 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 1224 W Roosevelt Blvd, Monroe, North Carolina |
Authorized Official Name and Position | Lisa Belk (DIRECTOR OF BUSINESS SERVICES) |
Authorized Official Contact | 7042964816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1224 W Roosevelt Blvd Monroe NC 28110-2820 Ph: () - | 1224 W Roosevelt Blvd Monroe NC 28110-2820 Ph: (704) 296-4800 |
NPI Number | 1477759710 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477759710 | NPI | - | NPPES |
5900104 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |