| Grandy Family Medicine Pc | |
|
7429 Caratoke Hwy Jarvisburg NC 27947-9708 | |
| (252) 491-2111 | |
| (833) 689-6830 |
| Full Name | Grandy Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7429 Caratoke Hwy, Jarvisburg, North Carolina |
| Authorized Official Name and Position | Leslie M Mcpherson (OWNER) |
| Authorized Official Contact | 2524912111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandy Family Medicine Pc Po Box 211 Jarvisburg NC 27947-0211 Ph: (252) 491-2111 | Grandy Family Medicine Pc 7429 Caratoke Hwy Jarvisburg NC 27947-9708 Ph: (252) 491-2111 |
| NPI Number | 1609345412 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 07/20/2020 |
| Medicare PECOS PAC ID | 1850631201 |
|---|---|
| Medicare Enrollment ID | O20190321000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609345412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric Robisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952888018 PECOS PAC ID: 5092057158 Enrollment ID: I20190719002204 |
| Provider Name | Stacey Y Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790716009 PECOS PAC ID: 5698729150 Enrollment ID: I20190801002321 |