| Louisburg Ppm Llc | |
|
1501 N Bickett Blvd Suite G Louisburg NC 27549-2178 | |
| (919) 496-5774 | |
| Not Available |
| Full Name | Louisburg Ppm Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 N Bickett Blvd, Louisburg, North Carolina |
| Authorized Official Name and Position | Stanley D Mclemore (SR. VP OPERATIONS FINANCE) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisburg Ppm Llc Po Box 239 Louisburg NC 27549-0239 Ph: (919) 496-5774 | Louisburg Ppm Llc 1501 N Bickett Blvd Suite G Louisburg NC 27549-2178 Ph: (919) 496-5774 |
| NPI Number | 1720225691 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720225691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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