| Generations Family Practice, Pa | |
|
158 Memorial Ct Jacksonville NC 28546-6322 | |
| (910) 353-5111 | |
| (910) 353-2849 |
| Full Name | Generations Family Practice, Pa |
|---|---|
| Speciality | Specialist |
| Location | 158 Memorial Ct, Jacksonville, North Carolina |
| Authorized Official Name and Position | Ashley Renee Long (PRACTICE IMPLEMENTATION MANAGER) |
| Authorized Official Contact | 9843332741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Family Practice, Pa 1021 Darrington Dr Ste 101 Cary NC 27513-8158 Ph: (984) 333-2741 | Generations Family Practice, Pa 158 Memorial Ct Jacksonville NC 28546-6322 Ph: (910) 353-5111 |
| NPI Number | 1013674332 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013674332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
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