| Table Rock Family Medicine | |
|
301 Linville Street Glen Alpine NC 28628 | |
| (828) 584-2481 | |
| (828) 584-8371 |
| Full Name | Table Rock Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Linville Street, Glen Alpine, North Carolina |
| Authorized Official Name and Position | Laura B Justice (OFFICE MANAGER) |
| Authorized Official Contact | 8285847258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Table Rock Family Medicine Po Box 837 Glen Alpine NC 28628-0837 Ph: (828) 584-2481 | Table Rock Family Medicine 301 Linville Street Glen Alpine NC 28628 Ph: (828) 584-2481 |
| NPI Number | 1558328781 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558328781 | NPI | - | NPPES |
| 89011WW | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 90044 (North Carolina) | Primary |