Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2008-07-16
- Last updated
- 2019-08-29
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 18539 S NC HIGHWAY 109
- City
- DENTON NC
- Postal code
- 272397713
- Phone
- 336-859-5001
Organization contact
- Name
- CLIFTON BAKER
- Title
- Co-Owner
- Phone
- 3368595001
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.