| Vcg Spring Lake Inc | |
|
810 Chapel Hill Rd Spring Lake NC 28390-2140 | |
| (910) 867-5500 | |
| (910) 867-4120 |
| Full Name | Vcg Spring Lake Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 810 Chapel Hill Rd, Spring Lake, North Carolina |
| Authorized Official Name and Position | Jennifer Long Saunders (OFFICE MANAGER) |
| Authorized Official Contact | 9108675500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcg Spring Lake Inc 810 Chapel Hill Rd Spring Lake NC 28390-2140 Ph: (910) 867-5500 | Vcg Spring Lake Inc 810 Chapel Hill Rd Spring Lake NC 28390-2140 Ph: (910) 867-5500 |
| NPI Number | 1154580587 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154580587 | NPI | - | NPPES |
| 0849Y | Other | NC | BLUE CROSS BLUE SHIELD |
| 890849Y | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2863 (North Carolina) | Primary |
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