| Dr. Robin Peace Llc | |
|
1150 Pine Run Dr Lumberton NC 28358-2118 | |
| (910) 734-6247 | |
| (754) 212-0473 |
| Full Name | Dr. Robin Peace Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1150 Pine Run Dr, Lumberton, North Carolina |
| Authorized Official Name and Position | Robin Yolanda Peace (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9107346247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robin Peace Llc 1105 Laurel Oak Ln Lumberton NC 28358-2183 Ph: (910) 734-6247 | Dr. Robin Peace Llc 1150 Pine Run Dr Lumberton NC 28358-2118 Ph: (910) 734-6247 |
| NPI Number | 1285218933 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 0749686079 |
|---|---|
| Medicare Enrollment ID | O20210910002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285218933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
| Provider Name | Robin Yolanda Peace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437158201 PECOS PAC ID: 4082683784 Enrollment ID: I20040929000793 |
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