| Longleaf Wellness PLLC | |
|
1090 E Central Ave Raeford NC 28376-3039 | |
| (910) 875-4545 | |
| (910) 875-8972 |
| Full Name | Longleaf Wellness PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1090 E Central Ave, Raeford, North Carolina |
| Authorized Official Name and Position | Margaret Anne Monroe (PRESIDENT) |
| Authorized Official Contact | 9108754545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longleaf Wellness PLLC 1090 E Central Ave Raeford NC 28376-3039 Ph: (910) 875-4545 | Longleaf Wellness PLLC 1090 E Central Ave Raeford NC 28376-3039 Ph: (910) 875-4545 |
| NPI Number | 1821643172 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 3072844836 |
|---|---|
| Medicare Enrollment ID | O20191008003408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821643172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Vickie Lynn Farmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255311916 PECOS PAC ID: 3476568874 Enrollment ID: I20080508000774 |
| Provider Name | James Bradford Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194962217 PECOS PAC ID: 5597945642 Enrollment ID: I20110208000240 |
| Provider Name | Margaret Anne Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871027524 PECOS PAC ID: 2466729199 Enrollment ID: I20170530001618 |
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