| Robeson Digestive Diseases | |
|
1011 Woodridge Dr Lumberton NC 28358-3328 | |
| (910) 739-8825 | |
| Not Available |
| Full Name | Robeson Digestive Diseases |
|---|---|
| Speciality | Clinic/Center |
| Location | 1011 Woodridge Dr, Lumberton, North Carolina |
| Authorized Official Name and Position | Gregory Locklear (DOCTOR) |
| Authorized Official Contact | 9107398825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robeson Digestive Diseases 1011 Woodridge Dr Lumberton NC 28358-3328 Ph: (910) 739-8825 | Robeson Digestive Diseases 1011 Woodridge Dr Lumberton NC 28358-3328 Ph: (910) 739-8825 |
| NPI Number | 1578759106 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 10/28/2013 |
| Medicare PECOS PAC ID | 6305931601 |
|---|---|
| Medicare Enrollment ID | O20071002000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578759106 | NPI | - | NPPES |
| 8952432 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 29856 (North Carolina) | Primary |
| Provider Name | Gregory Locklear |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831196450 PECOS PAC ID: 8325133614 Enrollment ID: I20071002000216 |
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