# MEDSTAT OF GOLDSBORO INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134217680
- **Authorized official:** MRS. VICKY B LE BS (ACCOUNT MANAGER)
- **Authorized official phone:** (919) 736-9699

## Contact information

- **Practice address:** 1707 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2239
- **Practice address phone:** (919) 736-9699
- **Practice address fax:** (919) 734-0501
- **Mailing address:** 1707 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2239
- **Mailing address phone:** (919) 736-9699
- **Mailing address fax:** (919) 734-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25354 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 03/30/2010