| Independence Health Pa | |
|
515 Barbour Rd Smithfield NC 27577-7698 | |
| (919) 934-6017 | |
| (919) 934-2057 |
| Full Name | Independence Health Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 515 Barbour Rd, Smithfield, North Carolina |
| Authorized Official Name and Position | Bernard L Bennett (PRESIDENT) |
| Authorized Official Contact | 9196228272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Health Pa 1209 Falls Bridge Dr Raleigh NC 27614-8935 Ph: (919) 622-8272 | Independence Health Pa 515 Barbour Rd Smithfield NC 27577-7698 Ph: (919) 934-6017 |
| NPI Number | 1184882094 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184882094 | NPI | - | NPPES |
| DO0034 | Other | NC | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 36492 (North Carolina) | Primary |
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