| Carolina Acute Care & Wellness Center, Pa | |
|
2601 N Elm St Ste A Lumberton NC 28358-3063 | |
| (910) 236-2200 | |
| Not Available |
| Full Name | Carolina Acute Care & Wellness Center, Pa |
|---|---|
| Speciality | General Practice |
| Location | 2601 N Elm St Ste A, Lumberton, North Carolina |
| Authorized Official Name and Position | Gina Stephens (NURSE PRACTITIONER) |
| Authorized Official Contact | 9102362200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Acute Care & Wellness Center, Pa 2601 N Elm St Ste A Lumberton NC 28358-3063 Ph: () - | Carolina Acute Care & Wellness Center, Pa 2601 N Elm St Ste A Lumberton NC 28358-3063 Ph: (910) 236-2200 |
| NPI Number | 1467099127 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 06/29/2020 |
| Medicare PECOS PAC ID | 8022444652 |
|---|---|
| Medicare Enrollment ID | O20200130000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467099127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gina S Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144252081 PECOS PAC ID: 0345236659 Enrollment ID: I20040422000636 |
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