Health Plus of NC PA
Organization Active NPI General Practice Physician · Candor, NC
NPI 1790796118 · NPPES record last updated Jan 13, 2010
Key facts
- NPI
- 1790796118
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- HEALTH PLUS OF NC PA
- Practice address
- 210 East Main St.
Candor, NC 27229-8088 - Phone
- (910) 974-7555
- Fax
- (910) 974-4555
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathy R Elliott, LPN
- Title
- Office Manager
- Phone
- (910) 974-7555
Practitioners 1
-
Lawrence Craig Elliott, P.A.-C
National Provider Directory
Locations
280 N Main St
Biscoe, NC 27209
Phone (910) 428-9277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes | ||
| General Practice Physician |
208D00000X | 9701632 | NC | |
| Medical Physician Assistant |
363AM0700X | 101376 | NC |
Addresses
Primary practice location
210 East Main St.
Candor, NC 27229-8088
Mailing address
210 East Main St.
Candor, NC 27229-8088
Phone (910) 974-7555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O11WU | Other | NC | BCBS |
| 89011WU | Medicaid | NC | |
| 2344648 | Other | NC | MEDICARE |
Other providers in Candor, NC
- Lawrence Craig Elliott
- FHPG, LLC
- Genesis Care Services
- Hannah'S House Residential Home Care Facility
- Mary Catherine Hartley
- House of Viola, Inc
- Lagniappe Enterprises
- Latayo Morrison
- Neal and Joyce Parson
- Neal and Joyce Parson
All providers in Candor, NC · General Practice Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.