| Excellent Spirit Enterprise, Inc. | |
|
9201 County Line Road Sharpsburg NC 27878-9998 | |
| (252) 446-4455 | |
| (704) 625-0372 |
| Full Name | Excellent Spirit Enterprise, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 9201 County Line Road, Sharpsburg, North Carolina |
| Authorized Official Name and Position | John Robert Pickett (FOUNDER/CEO) |
| Authorized Official Contact | 2524464455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Spirit Enterprise, Inc. Po Box 98 Sharpsburg NC 27878-0098 Ph: (252) 446-4455 | Excellent Spirit Enterprise, Inc. 9201 County Line Road Sharpsburg NC 27878-9998 Ph: (252) 446-4455 |
| NPI Number | 1760715486 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760715486 | NPI | - | NPPES |
| 344644C | Medicaid | NC | |
| 344644A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 200000114 (North Carolina) | Primary |
Excellent Spirit Enterprise, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9201 County Line Road, Sharpsburg, NC 27878 Phone: 252-446-4455 |