Wellspring Family Practice, Pa | |
81 Medical Park Loop Suite 202 Sylva NC 28779-5291 | |
(828) 586-7705 | |
(828) 586-7714 |
Full Name | Wellspring Family Practice, Pa |
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Speciality | Family Medicine |
Location | 81 Medical Park Loop, Sylva, North Carolina |
Authorized Official Name and Position | Matthew Alan Mahar (OWNER) |
Authorized Official Contact | 8285867705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellspring Family Practice, Pa Po Box 149 Sylva NC 28779-0149 Ph: (828) 586-7705 | Wellspring Family Practice, Pa 81 Medical Park Loop Suite 202 Sylva NC 28779-5291 Ph: (828) 586-7705 |
NPI Number | 1083756761 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 08/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083756761 | NPI | - | NPPES |
5950037 | Medicaid | NC | |
019U1 | Other | NC | BCBS-GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200001199 (North Carolina) | Primary |
Sylva Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Hospital Rd, Sylva, NC 28779 Phone: 828-586-8971 | |
Sylva Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Fisher Creek Rd, Sylva, NC 28779 Phone: 828-586-4012 Fax: 828-586-5162 | |