| Chocowinity Family Care | |
|
740 Bragaw Lane Chocowinity NC 27817-8415 | |
| (252) 946-9562 | |
| (252) 946-9071 |
| Full Name | Chocowinity Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 740 Bragaw Lane, Chocowinity, North Carolina |
| Authorized Official Name and Position | Susan S Gerard (PHYSICIAN PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2529754203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chocowinity Family Care 740 Bragaw Lane Chocowinity NC 27817-8415 Ph: (252) 946-9562 | Chocowinity Family Care 740 Bragaw Lane Chocowinity NC 27817-8415 Ph: (252) 946-9562 |
| NPI Number | 1538275706 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538275706 | NPI | - | NPPES |
| 89016A5 | Medicaid | NC | |
| 022T3 | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |