| Ivory Bloom Health PLLC | |
|
605 Benson Rd Ste A Garner NC 27529-3987 | |
| (910) 994-8125 | |
| Not Available |
| Full Name | Ivory Bloom Health PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 605 Benson Rd Ste A, Garner, North Carolina |
| Authorized Official Name and Position | Amy-jo Bekong (PHYSICIAN) |
| Authorized Official Contact | 9109948125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Bloom Health PLLC 605 Benson Rd Ste A Garner NC 27529-3987 Ph: (910) 994-8125 | Ivory Bloom Health PLLC 605 Benson Rd Ste A Garner NC 27529-3987 Ph: (910) 994-8125 |
| NPI Number | 1073325155 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 6103308192 |
|---|---|
| Medicare Enrollment ID | O20260309000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073325155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Amy-jo Atem Bekong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962852848 PECOS PAC ID: 2961732557 Enrollment ID: I20190925000033 |
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