| Progress Medical, Pllc | |
|
2104 Talmage Dr Leland NC 28451-9340 | |
| (910) 274-6718 | |
| (910) 782-0829 |
| Full Name | Progress Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2104 Talmage Dr, Leland, North Carolina |
| Authorized Official Name and Position | Joshua Dobstaff (OWNER) |
| Authorized Official Contact | 9102746718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Medical, Pllc 2104 Talmage Dr Leland NC 28451-9340 Ph: (910) 274-6718 | Progress Medical, Pllc 2104 Talmage Dr Leland NC 28451-9340 Ph: (910) 274-6718 |
| NPI Number | 1104431725 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Medicare PECOS PAC ID | 5294154944 |
|---|---|
| Medicare Enrollment ID | O20200929002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104431725 | NPI | - | NPPES |
| 2012-01439 | Other | NC | DOH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua D Dobstaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923975 PECOS PAC ID: 8729237615 Enrollment ID: I20121010000058 |
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