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NPI Code Detail

MEDICARE: WARE FAMILY MEDICINE PLLC

MEDICARE: WARE FAMILY MEDICINE PLLC
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

General Provider Information

NPI Number : 1922601764
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARE FAMILY MEDICINE PLLC
Provider Business Mailing Address
First Line : 32 E MAIN ST
Second Line :
City : OLD FORT
State : NC
Zip : 28762-0017
Country : US
Telephone Number : 828-668-6435
Fax Number : 833-913-2496
Provider Business Practice Location Address
First Line : 32 E MAIN ST
Second Line :
City : OLD FORT
State : NC
Zip : 28762-0017
Country : US
Telephone Number : 828-668-6435
Fax Number : 833-913-2496
Authorized Official
Title or Position : SOLE MEMBER
Name : BRIAN M WARE
Credential : DO
Telephone Number : 828-668-6435
Provider Enumeration Date : 11/16/2020
Last Update Date : 01/28/2022

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Directions to “WARE FAMILY MEDICINE PLLC ” Practice Location

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