| Family Medicine Of Harrellsville | |
|
103 E Main St Harrellsville NC 27942-9201 | |
| (252) 356-6544 | |
| (252) 356-9907 |
| Full Name | Family Medicine Of Harrellsville |
|---|---|
| Speciality | Family Medicine |
| Location | 103 E Main St, Harrellsville, North Carolina |
| Authorized Official Name and Position | Gaddy Matheson Lassiter (CEO) |
| Authorized Official Contact | 2523566544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Harrellsville 103 E Main St Harrellsville NC 27942-9201 Ph: (252) 356-6544 | Family Medicine Of Harrellsville 103 E Main St Harrellsville NC 27942-9201 Ph: (252) 356-6544 |
| NPI Number | 1124003934 |
|---|---|
| Provider Enumeration Date | 12/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124003934 | NPI | - | NPPES |
| 891216W | Medicaid | NC | |
| 1216W | Other | NC | BC/BS INDIVIDUAL # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |