| Lumberton Care Clinic, Pllc | |
|
4307 Fayetteville Rd Lumberton NC 28358-2676 | |
| (910) 740-5505 | |
| Not Available |
| Full Name | Lumberton Care Clinic, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4307 Fayetteville Rd, Lumberton, North Carolina |
| Authorized Official Name and Position | Terri Lisa D Campbell (OWNER/PROVIDER) |
| Authorized Official Contact | 9106137441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumberton Care Clinic, Pllc 4307 Fayetteville Rd Lumberton NC 28358-2676 Ph: (910) 613-7441 | Lumberton Care Clinic, Pllc 4307 Fayetteville Rd Lumberton NC 28358-2676 Ph: (910) 740-5505 |
| NPI Number | 1205597721 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 8527454974 |
|---|---|
| Medicare Enrollment ID | O20220412000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205597721 | NPI | - | NPPES |
| 7005090 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Terri Lisa Davis Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619202884 PECOS PAC ID: 3274672183 Enrollment ID: I20091207000547 |
| Provider Name | Matthew Daniel Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295224525 PECOS PAC ID: 1951656461 Enrollment ID: I20180622002437 |
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