| Gold Hill Family Medicine, Pllc | |
|
11055 Highway 52 Rockwell NC 28138-9792 | |
| (704) 209-0418 | |
| Not Available |
| Full Name | Gold Hill Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11055 Highway 52, Rockwell, North Carolina |
| Authorized Official Name and Position | Darren Brent Kelly (PHYSICIAN) |
| Authorized Official Contact | 7047829175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Hill Family Medicine, Pllc Po Box 215 Rockwell NC 28138-0215 Ph: (704) 209-0418 | Gold Hill Family Medicine, Pllc 11055 Highway 52 Rockwell NC 28138-9792 Ph: (704) 209-0418 |
| NPI Number | 1689016925 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 09/24/2013 |
| Medicare PECOS PAC ID | 4587890942 |
|---|---|
| Medicare Enrollment ID | O20131114000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689016925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9701003 (North Carolina) | Primary |
| Provider Name | Darren B Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942298757 PECOS PAC ID: 9032137708 Enrollment ID: I20051110000836 |
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