| Harrisburg Family Physicians | |
|
12170 University City Blvd Harrisburg NC 28075-7406 | |
| (704) 863-6970 | |
| Not Available |
| Full Name | Harrisburg Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 12170 University City Blvd, Harrisburg, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisburg Family Physicians Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Harrisburg Family Physicians 12170 University City Blvd Harrisburg NC 28075-7406 Ph: (704) 863-6970 |
| NPI Number | 1891726634 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 2668461781 |
|---|---|
| Medicare Enrollment ID | O20040512000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891726634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan Renay Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982685020 PECOS PAC ID: 7416953393 Enrollment ID: I20061017000365 |
| Provider Name | Kirk L Woosley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437182920 PECOS PAC ID: 7719175538 Enrollment ID: I20101221000665 |
| Provider Name | Gloria J White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619992971 PECOS PAC ID: 2062600885 Enrollment ID: I20101221000682 |
| Provider Name | Jennifer L Mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205869864 PECOS PAC ID: 8224226055 Enrollment ID: I20101221000704 |
| Provider Name | Jeremy J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710205968 PECOS PAC ID: 1355584780 Enrollment ID: I20130903000725 |
| Provider Name | Kaaren Sue Sailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578788949 PECOS PAC ID: 3173827995 Enrollment ID: I20160215001250 |
| Provider Name | Susmitha Narayanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871814749 PECOS PAC ID: 7315177011 Enrollment ID: I20170110002688 |
| Provider Name | Peter Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831544980 PECOS PAC ID: 3476846247 Enrollment ID: I20190909000022 |
| Provider Name | Meghan D Shaughnessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780022798 PECOS PAC ID: 5496035099 Enrollment ID: I20230426001472 |
| Provider Name | Julia K Bregenzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891315990 PECOS PAC ID: 3375965924 Enrollment ID: I20230810004350 |
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