| Patriot Physician Services Pllc | |
|
1719 Albemarle Beach Rd Roper NC 27970-9419 | |
| (276) 730-5919 | |
| Not Available |
| Full Name | Patriot Physician Services Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1719 Albemarle Beach Rd, Roper, North Carolina |
| Authorized Official Name and Position | Carrie Burnette (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2767305919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Physician Services Pllc 5261 Carrollton Pike Ste E Woodlawn VA 24381-3034 Ph: (276) 730-5919 | Patriot Physician Services Pllc 1719 Albemarle Beach Rd Roper NC 27970-9419 Ph: (276) 730-5919 |
| NPI Number | 1427773886 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427773886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |