| Angel Family Practice | |
|
201 East Livermore Drive Pembroke NC 28372 | |
| (910) 272-6422 | |
| (910) 521-4237 |
| Full Name | Angel Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 East Livermore Drive, Pembroke, North Carolina |
| Authorized Official Name and Position | Dawn Tracy Langley (PRESIDENT/CEO) |
| Authorized Official Contact | 9102726422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Family Practice 201 Livermore Dr Pembroke NC 28372-7322 Ph: (910) 272-6422 | Angel Family Practice 201 East Livermore Drive Pembroke NC 28372 Ph: (910) 272-6422 |
| NPI Number | 1164672515 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164672515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 102637 (North Carolina) | Primary |
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Southeastern Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Three Hunts Dr Ste A, Pembroke, NC 28372 Phone: 910-522-0408 Fax: 704-931-9199 | |
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