| Faison Medical Care, Pllc | |
|
5201 W Market St Ste 108 Greensboro NC 27409-3432 | |
| (336) 622-6000 | |
| Not Available |
| Full Name | Faison Medical Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5201 W Market St Ste 108, Greensboro, North Carolina |
| Authorized Official Name and Position | Alphonza Faison (OWNER) |
| Authorized Official Contact | 3366226000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faison Medical Care, Pllc 5201 W Market St Ste 108 Greensboro NC 27409-3432 Ph: (336) 622-6000 | Faison Medical Care, Pllc 5201 W Market St Ste 108 Greensboro NC 27409-3432 Ph: (336) 622-6000 |
| NPI Number | 1093359366 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 2062848138 |
|---|---|
| Medicare Enrollment ID | O20200210000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093359366 | NPI | - | NPPES |
| 1093359366 | Medicaid | NC |
| Provider Name | Alphonza Faison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558844340 PECOS PAC ID: 2062754088 Enrollment ID: I20190423001872 |
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