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105 Se Railroad St Whitakers NC 27891-0760 | |
(252) 437-2171 | |
(252) 437-1520 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 105 Se Railroad St, Whitakers, North Carolina |
Authorized Official Name and Position | Ronald Eugene Hughes (PHYSICIAN OWNER) |
Authorized Official Contact | 2524372171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 760 105 Se Railroad St Whitakers NC 27891-0760 Ph: (252) 437-2171 | 105 Se Railroad St Whitakers NC 27891-0760 Ph: (252) 437-2171 |
NPI Number | 1982819116 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 07/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982819116 | NPI | - | NPPES |
343860C | Medicaid | NC | |
343860A | Medicaid | NC | |
1356327233 | Other | NC | OWNER NPI |
163WG0000X | Other | NC | WMC TAXONOMY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 25149 (North Carolina) | Primary |