| Meridian Internal Medicine, P.a. | |
|
306 N Cox St Asheboro NC 27203-5528 | |
| (336) 633-3073 | |
| (336) 633-3074 |
| Full Name | Meridian Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 N Cox St, Asheboro, North Carolina |
| Authorized Official Name and Position | Caroline C Prochnau (PRESIDENT/OWNER) |
| Authorized Official Contact | 3366333073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Internal Medicine, P.a. Po Box 4937 Asheboro NC 27204-4937 Ph: (336) 633-3073 | Meridian Internal Medicine, P.a. 306 N Cox St Asheboro NC 27203-5528 Ph: (336) 633-3073 |
| NPI Number | 1912234683 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 01/11/2011 |
| Medicare PECOS PAC ID | 8921134784 |
|---|---|
| Medicare Enrollment ID | O20100331000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912234683 | NPI | - | NPPES |
| 5913593 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2000-01522 (North Carolina) | Primary |
| Provider Name | Caroline C Prochnau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942287354 PECOS PAC ID: 8123154978 Enrollment ID: I20100331000310 |
| Provider Name | Sharon J Heyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811347099 PECOS PAC ID: 8426339565 Enrollment ID: I20170103000628 |
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