| Fairbrook Medical Clinic Pa | |
|
1985 Startown Rd Hickory NC 28602-8307 | |
| (828) 327-4745 | |
| (828) 327-0841 |
| Full Name | Fairbrook Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1985 Startown Rd, Hickory, North Carolina |
| Authorized Official Name and Position | John W Kessel (PRESIDENT) |
| Authorized Official Contact | 8283274745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbrook Medical Clinic Pa 1985 Startown Rd Hickory NC 28602-8307 Ph: (828) 327-4745 | Fairbrook Medical Clinic Pa 1985 Startown Rd Hickory NC 28602-8307 Ph: (828) 327-4745 |
| NPI Number | 1093778557 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093778557 | NPI | - | NPPES |
| 890153K | Medicaid | NC | |
| CJ5683 | Other | NC | RAILROAD MEDICARE |
| 0153K | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36206 (North Carolina) | Primary |
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