Organization
MOUNT JEFFERSON FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA D RICHARDSON (CORPORATE SECRETARY)
(336) 846-7433
Entity
Organization
Contact information
Practice address
200 HOSPITAL AVE, SUITE 3, JEFFERSON, NC 28640-9244
(336) 846-7433
(336) 846-7878
Mailing address
PO BOX 369, JEFFERSON, NC 28640-0369
(336) 846-7433
(336) 846-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173A
BCBSNC
NC
05
—
790173A
—
NC
Enumeration date
07/06/2006
Last updated
12/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us