| Bladen East Medical | |
|
16860 Nc Highway 87 E Council NC 28434-8738 | |
| (910) 669-2226 | |
| Not Available |
| Full Name | Bladen East Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 16860 Nc Highway 87 E, Council, North Carolina |
| Authorized Official Name and Position | Carvin K Gerald (COO) |
| Authorized Official Contact | 9106692221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bladen East Medical Po Box 186 Council NC 28434-0186 Ph: (910) 669-2221 | Bladen East Medical 16860 Nc Highway 87 E Council NC 28434-8738 Ph: (910) 669-2226 |
| NPI Number | 1417071283 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417071283 | NPI | - | NPPES |
| 89015T6 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |