| Northstar Internal Medicine Clinic At Gibson Cancer Center | |
|
1200 Pine Run Dr Lumberton NC 28358-2180 | |
| (910) 671-5048 | |
| (910) 671-5405 |
| Full Name | Northstar Internal Medicine Clinic At Gibson Cancer Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Pine Run Dr, Lumberton, North Carolina |
| Authorized Official Name and Position | Charles Thomas Johnson (VP/CFO) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Internal Medicine Clinic At Gibson Cancer Center 2002 N Cedar St Ste B Lumberton NC 28358-3926 Ph: (910) 272-3048 | Northstar Internal Medicine Clinic At Gibson Cancer Center 1200 Pine Run Dr Lumberton NC 28358-2180 Ph: (910) 671-5048 |
| NPI Number | 1699266742 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 10/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699266742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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