| Lumberton Medical Clinic, P.a. | |
|
395 W 27th St Lumberton NC 28358-3018 | |
| (910) 739-7551 | |
| (910) 739-2332 |
| Full Name | Lumberton Medical Clinic, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 395 W 27th St, Lumberton, North Carolina |
| Authorized Official Name and Position | Wanda P Bodiford (OFFICE MANAGER) |
| Authorized Official Contact | 9107397551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumberton Medical Clinic, P.a. 395 W 27th St Lumberton NC 28358-3018 Ph: (910) 739-7551 | Lumberton Medical Clinic, P.a. 395 W 27th St Lumberton NC 28358-3018 Ph: (910) 739-7551 |
| NPI Number | 1518014901 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518014901 | NPI | - | NPPES |
| 89133Y2 | Medicaid | NC | |
| 8971550 | Medicaid | NC | |
| 8952432 | Medicaid | NC | |
| 8921108 | Medicaid | NC | |
| 8914154 | Medicaid | NC | |
| 8928375 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40303 (North Carolina) | Primary |
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