| |
404 E Main St Wallace NC 28466-2726 | |
(910) 285-2134 | |
(910) 285-3380 |
Full Name | |
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Speciality | Family Medicine |
Location | 404 E Main St, Wallace, North Carolina |
Authorized Official Name and Position | Lynn T Lanier (VP OF FINANCE AND OPERATIONS) |
Authorized Official Contact | 2528470848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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404 E Main St Wallace NC 28466-2726 Ph: () - | 404 E Main St Wallace NC 28466-2726 Ph: (910) 285-2134 |
NPI Number | 1932334869 |
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Provider Enumeration Date | 05/21/2009 |
Last Update Date | 05/21/2009 |
Identifier | Type | State | Issuer |
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1932334869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Blair Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 E Main St, Wallace, NC 28466 Phone: 910-285-3380 | |
Daniel M Ricci M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 E Murphy St, Wallace, NC 28466 Phone: 910-285-4100 Fax: 910-285-4766 | |
Po Powell Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-665-1780 Fax: 910-665-1780 | |
Wallace Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Medical Village Dr, Unit F, Wallace, NC 28466 Phone: 910-552-1580 Fax: 910-665-1780 |