| Maxton Family Practice Center | |
|
1001 W. Martin Luther King Jr. Dr. Maxton NC 28364 | |
| (910) 844-4077 | |
| (910) 844-5840 |
| Full Name | Maxton Family Practice Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 W. Martin Luther King Jr. Dr., Maxton, North Carolina |
| Authorized Official Name and Position | Lucien Stonge (CFO) |
| Authorized Official Contact | 9102917547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxton Family Practice Center Po Box 604093 Charlotte NC 28260-4093 Ph: (910) 291-7000 | Maxton Family Practice Center 1001 W. Martin Luther King Jr. Dr. Maxton NC 28364 Ph: (910) 844-4077 |
| NPI Number | 1417941352 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 0648208504 |
|---|---|
| Medicare Enrollment ID | O20030630000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417941352 | NPI | - | NPPES |
| 34-3987 | Medicaid | NC | |
| 0262L | Other | NC | BCBS |
| NPA922 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
Southeastern Medical Clinic Maxton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22401 Andrew Jackson Hwy, Maxton, NC 28364 Phone: 910-272-3051 Fax: 910-738-3764 | |
Southeastern Medical Clinic Maxton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22401 Andrew Jackson Hwy, Maxton, NC 28364 Phone: 910-844-2004 Fax: 910-844-3798 | |
Shoeheel Medical Arts Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Pine Street, Maxton, NC 28364 Phone: 910-844-5681 Fax: 910-844-5650 |