| Randolph Specialty Group Practice | |
|
514 N Broad St Seagrove NC 27341-8583 | |
| (336) 873-8045 | |
| (336) 873-9074 |
| Full Name | Randolph Specialty Group Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 514 N Broad St, Seagrove, North Carolina |
| Authorized Official Name and Position | Robert Scott Clauser (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3366252333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Specialty Group Practice Po Box 5418 Asheboro NC 27204-5418 Ph: (336) 625-2333 | Randolph Specialty Group Practice 514 N Broad St Seagrove NC 27341-8583 Ph: (336) 873-8045 |
| NPI Number | 1114195468 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114195468 | NPI | - | NPPES |
| 5900587 | Medicaid | NC | |
| 0248R | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
American Healthcare Systems, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 N Broad St, Seagrove, NC 27341 Phone: 336-873-8045 | |
Seagrove Medical Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 614 N Broad St, Seagrove, NC 27341 Phone: 336-873-7248 Fax: 336-873-7238 |