| Unifour Family Practice, Pllc | |
|
2874 Nc Hwy 127 South Hickory NC 28602-9130 | |
| (828) 294-4100 | |
| (828) 294-4112 |
| Full Name | Unifour Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2874 Nc Hwy 127 South, Hickory, North Carolina |
| Authorized Official Name and Position | Robert Hammill Lee (OWNER/PARTNER) |
| Authorized Official Contact | 8282944100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unifour Family Practice, Pllc 2874 Nc Hwy 127 South Hickory NC 28602-9130 Ph: (828) 294-4100 | Unifour Family Practice, Pllc 2874 Nc Hwy 127 South Hickory NC 28602-9130 Ph: (828) 294-4100 |
| NPI Number | 1033128822 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 11/03/2011 |
| Medicare PECOS PAC ID | 1759459829 |
|---|---|
| Medicare Enrollment ID | O20081003000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033128822 | NPI | - | NPPES |
| 0238G | Other | NC | BCSC GROUP |
| 890238G | Medicaid | NC | |
| 0238G | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Robert Duralia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549301 PECOS PAC ID: 9032105028 Enrollment ID: I20040423001076 |
| Provider Name | Robert Hammill Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770529323 PECOS PAC ID: 2860488459 Enrollment ID: I20081009000444 |
| Provider Name | Kimberly Z Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841653359 PECOS PAC ID: 0749572204 Enrollment ID: I20160705000201 |
| Provider Name | Rebecca Ellen Woodbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780225599 PECOS PAC ID: 3779919220 Enrollment ID: I20200202000032 |
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