Vanceboro Internal Medicine Pa | |
260 Nc Highway 43 Vanceboro NC 28586-8906 | |
(252) 244-4700 | |
(252) 244-4702 |
Full Name | Vanceboro Internal Medicine Pa |
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Speciality | Internal Medicine |
Location | 260 Nc Highway 43, Vanceboro, North Carolina |
Authorized Official Name and Position | Carol Ann Brinson (MEDICAL BILLING SUPERVISOR) |
Authorized Official Contact | 2526727730 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vanceboro Internal Medicine Pa 260 Nc Highway 43 Vanceboro NC 28586-8906 Ph: (252) 244-4700 | Vanceboro Internal Medicine Pa 260 Nc Highway 43 Vanceboro NC 28586-8906 Ph: (252) 244-4700 |
NPI Number | 1306046875 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 07/23/2007 |
Medicare PECOS PAC ID | 7416123906 |
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Medicare Enrollment ID | O20120105000058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306046875 | NPI | - | NPPES |
1106L | Other | NC | NORTH CAROLINA BCBS |
891106L | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9601712 (North Carolina) | Primary |
Provider Name | Gurinder P Sandhu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467502211 PECOS PAC ID: 0648452565 Enrollment ID: I20110314000298 |
Carolinaeast Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Farm Life Ave, Vanceboro, NC 28586 Phone: 252-244-1785 | |
Carolina East Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Farmlife Avenue, Vanceboro, NC 28586 Phone: 252-244-1785 Fax: 252-244-2876 |