| Bladenboro Family Practice | |
|
2610 N Elm St Lumberton NC 28358-3011 | |
| (910) 671-6177 | |
| (910) 671-6177 |
| Full Name | Bladenboro Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2610 N Elm St, Lumberton, North Carolina |
| Authorized Official Name and Position | Stephen Harold Royal (PRESIDENT) |
| Authorized Official Contact | 9106716177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bladenboro Family Practice 2610 N Elm St Lumberton NC 28358-3011 Ph: (910) 671-6177 | Bladenboro Family Practice 2610 N Elm St Lumberton NC 28358-3011 Ph: (910) 671-6177 |
| NPI Number | 1306010558 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306010558 | NPI | - | NPPES |
| 2344619 | Other | NC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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