Mrs Mandesa Malika Smith, CNM | |
4300 Fayetteville Rd, Lumberton, NC 28358 | |
(910) 608-3078 | |
(910) 608-3079 |
Full Name | Mrs Mandesa Malika Smith |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4300 Fayetteville Rd, Lumberton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083099568 | NPI | - | NPPES |
573 | Other | NC | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0102X | Registered Nurse - Maternal Newborn | 249148 (North Carolina) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Southeastern Regional Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
Entity Name | Unc Physicians Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
Entity Name | Obhg North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124300876 PECOS PAC ID: 3577721034 Enrollment ID: O20120301000114 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mandesa Malika Smith, CNM 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () - | Mrs Mandesa Malika Smith, CNM 4300 Fayetteville Rd, Lumberton, NC 28358 Ph: (910) 608-3078 |
Mrs. Lisa Lowry Blake, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4300 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-608-3078 Fax: 910-608-3079 | |
Loraine Ann Collins, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd, Suite C-1, Lumberton, NC 28358 Phone: 910-608-3078 Fax: 910-608-3079 | |
Michelle Rising Cox, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 460 Country Club Rd, Lumberton, NC 28360 Phone: 910-671-3200 | |
Mrs. Judith Ann Locklear, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 800 Oakridge Blvd, Lumberton, NC 28358 Phone: 910-738-2454 Fax: 910-272-7165 | |
Mrs. Monica Locklear Oxendine, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 800 Oakridge Blvd, Lumberton, NC 28358 Phone: 910-738-2454 Fax: 910-272-7165 |