| Asheboro Digestive Disease Clinic Pa | |
|
548 Greensboro St Asheboro NC 27203-5573 | |
| (336) 629-5989 | |
| (336) 629-9868 |
| Full Name | Asheboro Digestive Disease Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 548 Greensboro St, Asheboro, North Carolina |
| Authorized Official Name and Position | Lesia S Misenheimer (OFFICE MANAGER) |
| Authorized Official Contact | 3366295989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asheboro Digestive Disease Clinic Pa 548 Greensboro St Asheboro NC 27203-5573 Ph: (336) 629-5989 | Asheboro Digestive Disease Clinic Pa 548 Greensboro St Asheboro NC 27203-5573 Ph: (336) 629-5989 |
| NPI Number | 1548462963 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 7517047020 |
|---|---|
| Medicare Enrollment ID | O20080109000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548462963 | NPI | - | NPPES |
| 8959547 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Timothy J Misenheimer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538268461 PECOS PAC ID: 5890875306 Enrollment ID: I20080109000221 |
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