| Robeson Medical Clinic Pc | |
|
4320 Fayetteville Rd Suite A Lumberton NC 28358-2706 | |
| (910) 738-2330 | |
| (910) 738-1403 |
| Full Name | Robeson Medical Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4320 Fayetteville Rd, Lumberton, North Carolina |
| Authorized Official Name and Position | Sandhya Anne Thomasmontilus (CEO) |
| Authorized Official Contact | 9107382330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robeson Medical Clinic Pc 4320 Fayetteville Rd Suite A Lumberton NC 28358-2706 Ph: (910) 738-2330 | Robeson Medical Clinic Pc 4320 Fayetteville Rd Suite A Lumberton NC 28358-2706 Ph: (910) 738-2330 |
| NPI Number | 1972603132 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972603132 | NPI | - | NPPES |
| 89-0226C | Medicaid | NC | |
| 0226C | Other | NC | BC/BS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9701618 (North Carolina) | Primary |
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