| Ahoskie Adult Medicine Clinic, Pllc | |
|
233 South St W Ahoskie NC 27910-3335 | |
| (125) 233-2333 | |
| (252) 332-3350 |
| Full Name | Ahoskie Adult Medicine Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 South St W, Ahoskie, North Carolina |
| Authorized Official Name and Position | Charles Beauchamp (OWNER) |
| Authorized Official Contact | 9199679932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahoskie Adult Medicine Clinic, Pllc 233 South St W Ahoskie NC 27910-3335 Ph: (125) 233-2333 | Ahoskie Adult Medicine Clinic, Pllc 233 South St W Ahoskie NC 27910-3335 Ph: (125) 233-2333 |
| NPI Number | 1215325279 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 05/15/2015 |
| Medicare PECOS PAC ID | 3274848858 |
|---|---|
| Medicare Enrollment ID | O20150811004763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215325279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20100 (North Carolina) | Primary |
| Provider Name | Charles O Beauchamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962593525 PECOS PAC ID: 0840379376 Enrollment ID: I20080508000330 |
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