| Tabor City Family Medical Clinic, Pc | |
|
706 E 5th St Unit B Tabor City NC 28463-2335 | |
| (910) 207-3697 | |
| Not Available |
| Full Name | Tabor City Family Medical Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 706 E 5th St Unit B, Tabor City, North Carolina |
| Authorized Official Name and Position | Faith Beking (OWNER) |
| Authorized Official Contact | 9103778002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabor City Family Medical Clinic, Pc 706 E 5th St Unit B Tabor City NC 28463-2335 Ph: (910) 377-8002 | Tabor City Family Medical Clinic, Pc 706 E 5th St Unit B Tabor City NC 28463-2335 Ph: (910) 207-3697 |
| NPI Number | 1548828965 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 9133457047 |
|---|---|
| Medicare Enrollment ID | O20190829002440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548828965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Faith Beking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544915 PECOS PAC ID: 0749524551 Enrollment ID: I20181205002443 |
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