Campbell University Health Center, Llc | |
129 Tt Lanier St Buies Creek NC 27506 | |
(910) 893-1562 | |
(910) 893-1559 |
Full Name | Campbell University Health Center, Llc |
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Speciality | Family Medicine |
Location | 129 Tt Lanier St, Buies Creek, North Carolina |
Authorized Official Name and Position | James O Roberts (VICE PRESIDENT FOR BUSINESS & TREAS) |
Authorized Official Contact | 9108931240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Campbell University Health Center, Llc Po Box 565 Buies Creek NC 27506-0565 Ph: (910) 893-1562 | Campbell University Health Center, Llc 129 Tt Lanier St Buies Creek NC 27506 Ph: (910) 893-1562 |
NPI Number | 1508117185 |
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Provider Enumeration Date | 09/24/2012 |
Last Update Date | 03/08/2013 |
Medicare PECOS PAC ID | 1254586308 |
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Medicare Enrollment ID | O20130221000497 |
Identifier | Type | State | Issuer |
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1508117185 | NPI | - | NPPES |
Provider Name | Ronald Wade Cottle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558334201 PECOS PAC ID: 3476611351 Enrollment ID: I20081021000729 |
Provider Name | Cynthia Dawn Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912952508 PECOS PAC ID: 2860661246 Enrollment ID: I20110802000366 |
Provider Name | Thomas M Motyka |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598879843 PECOS PAC ID: 5799752663 Enrollment ID: I20120301000369 |
Provider Name | Andrew Thomas Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801096821 PECOS PAC ID: 0244403079 Enrollment ID: I20130223000120 |
Provider Name | Charlotte A Paolini |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609852946 PECOS PAC ID: 0941277297 Enrollment ID: I20130410000399 |
Provider Name | Nicholas Pennings |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982642096 PECOS PAC ID: 9234151101 Enrollment ID: I20131030000266 |
Provider Name | Gina E Clark |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790065399 PECOS PAC ID: 9234350166 Enrollment ID: I20141017002341 |
Provider Name | Joseph D Cacioppo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093743817 PECOS PAC ID: 3678564739 Enrollment ID: I20160725000055 |
Provider Name | Darrell L Dedeaux |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023556461 PECOS PAC ID: 8921379926 Enrollment ID: I20170809003942 |
Provider Name | Ryan K Hudson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669555447 PECOS PAC ID: 3577657121 Enrollment ID: I20171006002363 |
Provider Name | Eric E Gish |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1609831031 PECOS PAC ID: 4688934938 Enrollment ID: I20180205002033 |
Provider Name | Gregory A Hon |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1992050496 PECOS PAC ID: 1557671799 Enrollment ID: I20190625002744 |
Provider Name | Lucy W Ertenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376697649 PECOS PAC ID: 5294871679 Enrollment ID: I20190625003527 |
Provider Name | Shaun C Knox |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932237286 PECOS PAC ID: 8325243397 Enrollment ID: I20190819000551 |
Campbell University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 T.t. Lanier Street, Box 565, Buies Creek, NC 27506 Phone: 910-893-1560 Fax: 910-893-1559 |