| Primary Care And Urgent Care Of Nashville, Pllc | |
|
107 W Nashville Dr Ste A Nashville NC 27856-1289 | |
| (252) 676-8285 | |
| Not Available |
| Full Name | Primary Care And Urgent Care Of Nashville, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 W Nashville Dr Ste A, Nashville, North Carolina |
| Authorized Official Name and Position | Shandal Emanuel (PHYSICIAN OWNER) |
| Authorized Official Contact | 2526768285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care And Urgent Care Of Nashville, Pllc 107 W Nashville Dr Ste A Nashville NC 27856-1289 Ph: (252) 676-8285 | Primary Care And Urgent Care Of Nashville, Pllc 107 W Nashville Dr Ste A Nashville NC 27856-1289 Ph: (252) 676-8285 |
| NPI Number | 1265148944 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 4880069533 |
|---|---|
| Medicare Enrollment ID | O20230411000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265148944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Shandal Shanee Emanuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699777524 PECOS PAC ID: 9537105309 Enrollment ID: I20050701000130 |
| Provider Name | Haley Judd Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033898937 PECOS PAC ID: 3476909888 Enrollment ID: I20231020001893 |
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