| Clinic On The Corner, Pllc | |
|
3918 Bishop Rd Rocky Mount NC 27804-2780 | |
| (252) 299-0057 | |
| (252) 673-2518 |
| Full Name | Clinic On The Corner, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3918 Bishop Rd, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Traci Morris (PRACRICE MANAGER) |
| Authorized Official Contact | 7023266749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic On The Corner, Pllc 3918 Bishop Rd Rocky Mount NC 27804 Ph: (252) 299-0057 | Clinic On The Corner, Pllc 3918 Bishop Rd Rocky Mount NC 27804-2780 Ph: (252) 299-0057 |
| NPI Number | 1841914561 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 10/17/2022 |
| Medicare PECOS PAC ID | 8224407853 |
|---|---|
| Medicare Enrollment ID | O20221203000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841914561 | NPI | - | NPPES |
| Provider Name | Elizabeth D Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639489966 PECOS PAC ID: 9830312800 Enrollment ID: I20180905003854 |
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