| Dry Ridge Family Medicine Pllc | |
|
104 N Main St Weaverville NC 28787-8230 | |
| (828) 645-7974 | |
| (828) 645-9798 |
| Full Name | Dry Ridge Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 N Main St, Weaverville, North Carolina |
| Authorized Official Name and Position | Nicole Ogg (OWNER) |
| Authorized Official Contact | 8286457974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dry Ridge Family Medicine Pllc 104 N Main St Weaverville NC 28787-8230 Ph: (828) 645-7974 | Dry Ridge Family Medicine Pllc 104 N Main St Weaverville NC 28787-8230 Ph: (828) 645-7974 |
| NPI Number | 1003146507 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 8820130990 |
|---|---|
| Medicare Enrollment ID | O20100127000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003146507 | NPI | - | NPPES |
| 5914187 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9901454 (North Carolina) | Primary |
| Provider Name | Nicole Ogg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669448791 PECOS PAC ID: 6901826122 Enrollment ID: I20051202000562 |
| Provider Name | Karen Lea Doerfler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740231661 PECOS PAC ID: 1456377548 Enrollment ID: I20180618002430 |
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