Truenorth360 Medical Llc | |
93 N Main St South Yarmouth MA 02664-3117 | |
(720) 201-0708 | |
(888) 862-4414 |
Full Name | Truenorth360 Medical Llc |
---|---|
Speciality | Internal Medicine |
Location | 93 N Main St, South Yarmouth, Massachusetts |
Authorized Official Name and Position | Julia Moore Carson (DO) |
Authorized Official Contact | 7202010708 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Truenorth360 Medical Llc 93 N Main St South Yarmouth MA 02664-3117 Ph: (720) 201-0708 | Truenorth360 Medical Llc 93 N Main St South Yarmouth MA 02664-3117 Ph: (720) 201-0708 |
NPI Number | 1265205066 |
---|---|
Provider Enumeration Date | 11/02/2023 |
Last Update Date | 11/02/2023 |
Medicare PECOS PAC ID | 0749631349 |
---|---|
Medicare Enrollment ID | O20240108005766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265205066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Julia M Carson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548279953 PECOS PAC ID: 0941205694 Enrollment ID: I20061002000381 |
Value In Prevention Of Massachusetts, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 257 Station Ave, South Yarmouth, MA 02664 Phone: 508-394-2017 Fax: 508-398-6680 |