| Acts Medical | |
|
4111 Wendell Blvd Wendell NC 27591-6831 | |
| (919) 365-8484 | |
| (919) 365-8450 |
| Full Name | Acts Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 4111 Wendell Blvd, Wendell, North Carolina |
| Authorized Official Name and Position | Robert E Clayton (PRESIDENT) |
| Authorized Official Contact | 9192619727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acts Medical 4111 Wendell Blvd Wendell NC 27591-6831 Ph: (919) 365-8484 | Acts Medical 4111 Wendell Blvd Wendell NC 27591-6831 Ph: (919) 365-8484 |
| NPI Number | 1083877997 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 7113247834 |
|---|---|
| Medicare Enrollment ID | O20150520002548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083877997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30615 (North Carolina) | Primary |
| Provider Name | Robert E Clayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477518413 PECOS PAC ID: 8729026372 Enrollment ID: I20050422000975 |
| Provider Name | Juliette Dewitt Parks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730739475 PECOS PAC ID: 7214362870 Enrollment ID: I20200109000499 |
| Provider Name | Tori Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831984525 PECOS PAC ID: 4587148945 Enrollment ID: I20260324002177 |
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