| Winecoff Family Practice Pllc | |
|
304 Winecoff School Rd Concord NC 28027 | |
| (704) 262-7901 | |
| (704) 262-7902 |
| Full Name | Winecoff Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 Winecoff School Rd, Concord, North Carolina |
| Authorized Official Name and Position | Jan A Van Ravesteyn (PHYSICIAN OWNER) |
| Authorized Official Contact | 7042627901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winecoff Family Practice Pllc 304 Winecoff School Rd Concord NC 28027 Ph: (704) 262-7901 | Winecoff Family Practice Pllc 304 Winecoff School Rd Concord NC 28027 Ph: (704) 262-7901 |
| NPI Number | 1770548745 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770548745 | NPI | - | NPPES |
| 1208V | Other | NC | BCBS |
| 891208V | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9701631 (North Carolina) | Primary |
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