| Roy O Fagan Iii Md Pa | |
|
419 W Harrison St Reidsville NC 27320-5015 | |
| (336) 342-4448 | |
| (336) 342-4499 |
| Full Name | Roy O Fagan Iii Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 419 W Harrison St, Reidsville, North Carolina |
| Authorized Official Name and Position | Roy O Fagan (PRESIDENT) |
| Authorized Official Contact | 3363424448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy O Fagan Iii Md Pa 419 W Harrison St Reidsville NC 27320-5015 Ph: (336) 342-4448 | Roy O Fagan Iii Md Pa 419 W Harrison St Reidsville NC 27320-5015 Ph: (336) 342-4448 |
| NPI Number | 1023291234 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 5395770739 |
|---|---|
| Medicare Enrollment ID | O20051004000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023291234 | NPI | - | NPPES |
| 7931038 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37825 (North Carolina) | Primary |
| Provider Name | Roy O Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023075140 PECOS PAC ID: 7113952565 Enrollment ID: I20051010000927 |
Zack Hall, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Turner Dr Ste F, Reidsville, NC 27320 Phone: 336-342-6060 Fax: 336-342-6068 | |
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The Mcinnis Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 S Main St Ste C, Reidsville, NC 27320 Phone: 336-342-4286 Fax: 866-258-0126 | |
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