| Shepherd's Care Medical Clinic | |
|
1303 Water Plant Rd Zebulon NC 27597-8615 | |
| (919) 404-2474 | |
| (919) 375-4150 |
| Full Name | Shepherd's Care Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1303 Water Plant Rd, Zebulon, North Carolina |
| Authorized Official Name and Position | Regina Harrell (CEO) |
| Authorized Official Contact | 9198231618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd's Care Medical Clinic 1303 Water Plant Rd Zebulon NC 27597-8615 Ph: (919) 404-2474 | Shepherd's Care Medical Clinic 1303 Water Plant Rd Zebulon NC 27597-8615 Ph: (919) 404-2474 |
| NPI Number | 1528584588 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 2668881426 |
|---|---|
| Medicare Enrollment ID | O20210506002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528584588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Regina R Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780198572 PECOS PAC ID: 4284043050 Enrollment ID: I20210520002442 |
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