| Vanceboro Internal Medicine Pa | |
|
260 Nc Highway 43 Vanceboro NC 28586-8906 | |
| (252) 244-4700 | |
| (252) 244-4702 |
| Full Name | Vanceboro Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 260 Nc Highway 43, Vanceboro, North Carolina |
| Authorized Official Name and Position | Carol Ann Brinson (MEDICAL BILLING SUPERVISOR) |
| Authorized Official Contact | 2526727730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanceboro Internal Medicine Pa 260 Nc Highway 43 Vanceboro NC 28586-8906 Ph: (252) 244-4700 | Vanceboro Internal Medicine Pa 260 Nc Highway 43 Vanceboro NC 28586-8906 Ph: (252) 244-4700 |
| NPI Number | 1306046875 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Medicare PECOS PAC ID | 7416123906 |
|---|---|
| Medicare Enrollment ID | O20120105000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306046875 | NPI | - | NPPES |
| 1106L | Other | NC | NORTH CAROLINA BCBS |
| 891106L | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9601712 (North Carolina) | Primary |
| Provider Name | Gurinder P Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467502211 PECOS PAC ID: 0648452565 Enrollment ID: I20110314000298 |
Carolinaeast Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Farm Life Ave, Vanceboro, NC 28586 Phone: 252-244-1785 |