| Branches Of Hickory Healthcare Pllc | |
|
912 2nd St Ne Ste 4 Hickory NC 28601-3851 | |
| (828) 979-0955 | |
| (828) 212-4296 |
| Full Name | Branches Of Hickory Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 912 2nd St Ne Ste 4, Hickory, North Carolina |
| Authorized Official Name and Position | Amanda Harris (OWNER) |
| Authorized Official Contact | 8289790955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Hickory Healthcare Pllc 2425 N Center St # 117 Hickory NC 28601-1320 Ph: (828) 979-0955 | Branches Of Hickory Healthcare Pllc 912 2nd St Ne Ste 4 Hickory NC 28601-3851 Ph: (828) 979-0955 |
| NPI Number | 1659025393 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 4486023207 |
|---|---|
| Medicare Enrollment ID | O20221216001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659025393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amanda H Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770934713 PECOS PAC ID: 9335437581 Enrollment ID: I20161004002049 |
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