| Harris Family Practice At Angel Exchange | |
|
201 East Livermore Drive Pembroke NC 28372-7271 | |
| (910) 272-6422 | |
| Not Available |
| Full Name | Harris Family Practice At Angel Exchange |
|---|---|
| Speciality | Family Medicine |
| Location | 201 East Livermore Drive, Pembroke, North Carolina |
| Authorized Official Name and Position | Glenn R. Harris (PRESIDENT) |
| Authorized Official Contact | 9102726422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Family Practice At Angel Exchange 201 East Livermore Drive Pembroke NC 28372-7271 Ph: (910) 272-6422 | Harris Family Practice At Angel Exchange 201 East Livermore Drive Pembroke NC 28372-7271 Ph: (910) 272-6422 |
| NPI Number | 1104083500 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104083500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9300142 (North Carolina) | Primary |
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