| Pinehurst Geriatrics, Inc | |
|
300 Blake Blvd Pinehurst NC 28374-8474 | |
| (910) 295-6158 | |
| Not Available |
| Full Name | Pinehurst Geriatrics, Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 300 Blake Blvd, Pinehurst, North Carolina |
| Authorized Official Name and Position | William Ward Patrick (PRESIDENT) |
| Authorized Official Contact | 9102956158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinehurst Geriatrics, Inc Po Box 3290 Pinehurst NC 28374-3290 Ph: (910) 295-6158 | Pinehurst Geriatrics, Inc 300 Blake Blvd Pinehurst NC 28374-8474 Ph: (910) 295-6158 |
| NPI Number | 1457403479 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457403479 | NPI | - | NPPES |
| 0187F | Other | NC | BCBS |
| 890187F | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (North Carolina) | Primary |
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