| Southfork Medical Park | |
|
1731 Connelly Springs Rd Lenoir NC 28645-7827 | |
| (828) 757-6300 | |
| (828) 757-6324 |
| Full Name | Southfork Medical Park |
|---|---|
| Speciality | Family Medicine |
| Location | 1731 Connelly Springs Rd, Lenoir, North Carolina |
| Authorized Official Name and Position | Karen Shadowens (CFO) |
| Authorized Official Contact | 3366278512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfork Medical Park 321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 Ph: (828) 757-5965 | Southfork Medical Park 1731 Connelly Springs Rd Lenoir NC 28645-7827 Ph: (828) 757-6300 |
| NPI Number | 1417962150 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417962150 | NPI | - | NPPES |
| 790118N | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Hallmark Family Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1766 Connelly Springs Rd, Lenoir, NC 28645 Phone: 828-728-8224 Fax: 828-728-1690 | |
Robbins Medical Park Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Mulberry St Sw, Ste A, Lenoir, NC 28645 Phone: 828-757-6400 Fax: 828-757-6424 | |
Gregory D. Haynes, Md P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Mulberry St Sw, Suite 206, Lenoir, NC 28645 Phone: 828-572-1770 Fax: 828-572-1763 | |
Hallmark Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1766 Connelly Springs Road, Lenoir, NC 28645 Phone: 828-728-8224 Fax: 828-728-1690 | |
Bernhardt Employee Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Morganton Blvd Sw, Lenoir, NC 28645 Phone: 828-757-8272 | |
Caldwell Family Physicians, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1766 Connelly Springs Rd, Lenoir, NC 28645 Phone: 828-728-8224 | |
Laurel Park Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave Sw, Suite A, Lenoir, NC 28645 Phone: 828-757-3301 Fax: 828-757-3254 |