Healing Hands Family Practice Pllc | |
1003 Woodridge Dr Lumberton NC 28358-3328 | |
(910) 250-2500 | |
(910) 250-5111 |
Full Name | Healing Hands Family Practice Pllc |
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Speciality | Family Medicine |
Location | 1003 Woodridge Dr, Lumberton, North Carolina |
Authorized Official Name and Position | Andrea Suzette Blackburn (OWNER) |
Authorized Official Contact | 9102505100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Hands Family Practice Pllc 1003 Woodridge Dr Lumberton NC 28358-3328 Ph: (910) 887-2727 | Healing Hands Family Practice Pllc 1003 Woodridge Dr Lumberton NC 28358-3328 Ph: (910) 250-2500 |
NPI Number | 1093315574 |
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Provider Enumeration Date | 10/26/2020 |
Last Update Date | 04/07/2021 |
Medicare PECOS PAC ID | 6901216308 |
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Medicare Enrollment ID | O20201112002766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093315574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Andrea S Blackburn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235333675 PECOS PAC ID: 3072682426 Enrollment ID: I20080527000482 |
Provider Name | Larissa Oxendine Locklear |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629539473 PECOS PAC ID: 1052644333 Enrollment ID: I20190603000177 |
Provider Name | Amber Lynn Eddy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336845346 PECOS PAC ID: 5294199469 Enrollment ID: I20230907001143 |
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