| Wayne Health Medical Clinic, Llc | |
|
208 Cox Blvd Suite 102 Goldsboro NC 27534-9414 | |
| (919) 587-4081 | |
| (919) 587-0775 |
| Full Name | Wayne Health Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 208 Cox Blvd, Goldsboro, North Carolina |
| Authorized Official Name and Position | Clyde Louis Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9195874081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Health Medical Clinic, Llc Po Box 1717 Goldsboro NC 27533-1717 Ph: (919) 587-4081 | Wayne Health Medical Clinic, Llc 208 Cox Blvd Suite 102 Goldsboro NC 27534-9414 Ph: (919) 587-4081 |
| NPI Number | 1558630699 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558630699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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