| American Family Care | |
|
1298 N Main St Fuquay Varina NC 27526-2615 | |
| (919) 590-4099 | |
| Not Available |
| Full Name | American Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1298 N Main St, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Joseph Zucker (OWNER) |
| Authorized Official Contact | 9195904099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Family Care 319 Fayetteville St Unit 306 Raleigh NC 27601-1975 Ph: () - | American Family Care 1298 N Main St Fuquay Varina NC 27526-2615 Ph: (919) 590-4099 |
| NPI Number | 1770135808 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 6103258306 |
|---|---|
| Medicare Enrollment ID | O20191108001342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770135808 | NPI | - | NPPES |
| Provider Name | John E Killgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326074410 PECOS PAC ID: 4486633633 Enrollment ID: I20040720000460 |
| Provider Name | Daniel J Martinie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043317126 PECOS PAC ID: 3971503772 Enrollment ID: I20080717000687 |
| Provider Name | Jaclyn G Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417245689 PECOS PAC ID: 1254598956 Enrollment ID: I20120208000585 |
| Provider Name | Joseph Zucker |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992786537 PECOS PAC ID: 8325944648 Enrollment ID: I20191106001154 |
| Provider Name | Kathryn Foster Herb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851707822 PECOS PAC ID: 4284951252 Enrollment ID: I20200407003146 |
| Provider Name | John Timothy Carmack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023034972 PECOS PAC ID: 4789663964 Enrollment ID: I20200530000112 |
| Provider Name | Matthew A O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275034357 PECOS PAC ID: 0244662468 Enrollment ID: I20200720001122 |
| Provider Name | Lori Lyn Giggey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932770773 PECOS PAC ID: 8325445471 Enrollment ID: I20210916001985 |
| Provider Name | Katherine Rosa Demeulenaere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598228488 PECOS PAC ID: 6204178015 Enrollment ID: I20220112002794 |
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