| Western Stanly Primary Care Center | |
|
103 Stanly Pkwy Suite B Locust NC 28097-7704 | |
| (704) 888-8581 | |
| (704) 888-8488 |
| Full Name | Western Stanly Primary Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Stanly Pkwy, Locust, North Carolina |
| Authorized Official Name and Position | Douglas Scott Forth (CEO) |
| Authorized Official Contact | 7049838756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Stanly Primary Care Center 320 Yadkin St Suite B Albemarle NC 28001-3447 Ph: (704) 982-0639 | Western Stanly Primary Care Center 103 Stanly Pkwy Suite B Locust NC 28097-7704 Ph: (704) 888-8581 |
| NPI Number | 1073594305 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073594305 | NPI | - | NPPES |
| 89015AE | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Novant Health Lakeside Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Market St, Suite 110, Locust, NC 28097 Phone: 704-384-9590 Fax: 704-384-9591 | |
Locust Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite C, Locust, NC 28097 Phone: 704-888-0580 Fax: 704-781-0360 | |
Cabarrus Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Professional Park Dr, Locust, NC 28097 Phone: 704-403-6760 | |
Locust Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite A, Locust, NC 28097 Phone: 704-888-0580 | |
Locust Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite A, Locust, NC 28097 Phone: 704-888-0580 Fax: 704-888-0602 |