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NPI Code Detail

MEDICARE: NORTH CAROLINA REGIONAL NETWORK

MEDICARE: NORTH CAROLINA REGIONAL NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK6810OTHERNCRAIL ROAD MEDICARE
4CN1627OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740363449
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH CAROLINA REGIONAL NETWORK
Provider Business Mailing Address
First Line : PO BOX 2168
Second Line :
City : SPARTANBURG
State : SC
Zip : 29304-2168
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 444 NC HIGHWAY 108
Second Line :
City : RUTHERFORDTON
State : NC
Zip : 28139-7871
Country : US
Telephone Number : 828-286-2302
Fax Number : 828-287-4320
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MARK AYCOCK
Credential :
Telephone Number : 864-560-6000
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/24/2011

Similar Medicare Providers

1437120755 — JAMES VANJURA M.D.
Practice Location Address:
444 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1427029420 — ROBERT SCOTT LAWRENCE M.D.
Practice Location Address:
444 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1831292788 — SPARTANBURG MEDICAL CENTER
Practice Location Address:
444 NC HIGHWAY 108
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1871683664 — DR. DREW JOHN STEINER MD
Practice Location Address:
444 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1639218100 — MS. JOANN A. HERON PA-C
Practice Location Address:
444 NC HWY 108
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-286-2302
Practice Fax: 828-287-4320
1356483788 — DOUGLAS D SHEETS M.D.
Practice Location Address:
446 NC 108 HWY
RUTHERFORDTON, NC
28139-7871
Practice Phone: 828-287-7383
Practice Fax: 828-287-8020

Directions to “NORTH CAROLINA REGIONAL NETWORK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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