# IMPACT HEALTHCARE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Impact Primary and Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124537246
- **Authorized official:** MS. HEATHER JOHNSON MONTGOMERY F-N.P (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (919) 690-8588

## Contact information

- **Practice address:** 315 FRANKLIN PLZ, LOUISBURG, NC 27549-2765
- **Practice address phone:** (919) 496-4976
- **Mailing address:** 315 FRANKLIN PLZ, LOUISBURG, NC 27549-2765
- **Mailing address phone:** (919) 496-4976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2013-01723 | NC | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 07/21/2022
