West Columbus Family Practice Pa | |
110 N Brown St Chadbourn NC 28431-1702 | |
(910) 654-1701 | |
(910) 654-5701 |
Full Name | West Columbus Family Practice Pa |
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Speciality | Family Medicine |
Location | 110 N Brown St, Chadbourn, North Carolina |
Authorized Official Name and Position | Joyce Beaver (CEO OWNER) |
Authorized Official Contact | 9106541701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Columbus Family Practice Pa Po Box 325 Chadbourn NC 28431-0325 Ph: (910) 654-1701 | West Columbus Family Practice Pa 110 N Brown St Chadbourn NC 28431-1702 Ph: (910) 654-1701 |
NPI Number | 1508850587 |
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Provider Enumeration Date | 09/07/2005 |
Last Update Date | 08/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508850587 | NPI | - | NPPES |
344630A | Medicaid | NC | |
0247Y | Other | NC | BCBS |
344634A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207Q00000X | Family Medicine | 36494 (North Carolina) | Secondary |
Carolina Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E 7th Ave, Chadbourn, NC 28431 Phone: 910-654-6447 Fax: 910-654-1207 | |
Goshen Medical Center - Chadbourn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 N Brown St, Chadbourn, NC 28431 Phone: 910-654-1701 Fax: 910-267-8934 | |
Chadbourn Family Practice Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 E 7th Ave, Chadbourn, NC 28431 Phone: 910-654-3143 Fax: 910-654-4144 |