| Dlp Central Carolina Medical Group Llc | |
|
101 Church St Broadway NC 27505-9394 | |
| (919) 258-6521 | |
| (919) 258-6693 |
| Full Name | Dlp Central Carolina Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Church St, Broadway, North Carolina |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlp Central Carolina Medical Group Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Dlp Central Carolina Medical Group Llc 101 Church St Broadway NC 27505-9394 Ph: (919) 258-6521 |
| NPI Number | 1578254215 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 09/27/2024 |
| Medicare PECOS PAC ID | 3577840420 |
|---|---|
| Medicare Enrollment ID | O20230706003738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578254215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sandhills Family Practice P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Church Street, Broadway, NC 27505 Phone: 919-258-9214 Fax: 919-258-6693 |