# WARRENTON FAMILY PRACTICE, PLLC

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

## Provider details

- **NPI number:** 1134348998
- **Authorized official:** DR. YVETTE RENEE DOUGLAS-LEWIS M.D. (PHYSICIAN MEMBER)
- **Authorized official phone:** (252) 257-0372

## Contact information

- **Practice address:** 163 CHRISTMAS RD, WARRENTON, NC 27589-8723
- **Practice address phone:** (252) 257-0372
- **Mailing address:** 163 CHRISTMAS RD, WARRENTON, NC 27589-8723
- **Mailing address phone:** (252) 257-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 137051 | NC | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 10/29/2013