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2101 White Store Rd Monroe NC 28112-8733 | |
(704) 292-5162 | |
(704) 282-4142 |
Full Name | |
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Speciality | Clinic/center |
Location | 2101 White Store Rd, Monroe, North Carolina |
Authorized Official Name and Position | Willie Evans (OWNER) |
Authorized Official Contact | 7042965162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2101 White Store Rd Monroe NC 28112-8733 Ph: (704) 292-5162 | 2101 White Store Rd Monroe NC 28112-8733 Ph: (704) 292-5162 |
NPI Number | 1871642413 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 06/26/2008 |
Identifier | Type | State | Issuer |
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1871642413 | NPI | - | NPPES |
7802668 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | FCL090012 (North Carolina) | Primary |
Circle Medical Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Circle Dr, Monroe, NC 28112 Phone: 704-289-8537 Fax: 704-283-4602 | |