| Pathos P Consultng LLC | |
|
2302 W Meadowview Rd Ste 105 Greensboro NC 27407-3706 | |
| (919) 418-1246 | |
| Not Available |
| Full Name | Pathos P Consultng LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2302 W Meadowview Rd Ste 105, Greensboro, North Carolina |
| Authorized Official Name and Position | Jacqueline Jones Thompson (OWNER) |
| Authorized Official Contact | 9194181246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathos P Consultng LLC 278 Old Hickory Dr Raleigh NC 27603-7240 Ph: (919) 418-1246 | Pathos P Consultng LLC 2302 W Meadowview Rd Ste 105 Greensboro NC 27407-3706 Ph: (919) 418-1246 |
| NPI Number | 1629831060 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 2769920792 |
|---|---|
| Medicare Enrollment ID | O20240821001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629831060 | NPI | - | NPPES |
| Provider Name | Jacqueline L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356982797 PECOS PAC ID: 4789019035 Enrollment ID: I20200115001787 |
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