| Countryside Physicians | |
|
7700 Us Highway 158 Stokesdale NC 27357-9346 | |
| (336) 643-6301 | |
| (336) 643-9906 |
| Full Name | Countryside Physicians |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7700 Us Highway 158, Stokesdale, North Carolina |
| Authorized Official Name and Position | David M. Kaplan (DOCTOR) |
| Authorized Official Contact | 3366436301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Physicians Po Box 829 Stokesdale NC 27357-0829 Ph: (336) 643-6301 | Countryside Physicians 7700 Us Highway 158 Stokesdale NC 27357-9346 Ph: (336) 643-6301 |
| NPI Number | 1205961992 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205961992 | NPI | - | NPPES |
| 89-01867 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20612 (North Carolina) | Primary |
Living The Breamedical - Stokesdale, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8422 Us Hwy 158, Stokesdale, NC 27357 Phone: 252-702-0267 | |
Northstar Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7779 Nc Highway 68 N Ste 2a, Stokesdale, NC 27357 Phone: 336-298-7557 Fax: 336-298-7551 |