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Organization
SCOTLAND NECK FAMILY MEDICAL CENTER, INC.
Active
Organization
SCOTLAND NECK FAMILY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT F SHIELDS (CHAIRMAN OF BOARD)
(252) 826-4442
Entity
Organization
Contact information
Practice address
919 JR HIGH SCHOOL RD, SCOTLAND NECK, NC 27874-1219
(252) 826-3143
(252) 826-3110
Mailing address
PO BOX 540, SCOTLAND NECK, NC 27874-0540
(252) 826-3143
(252) 826-3110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0234G
BLUE CROSS AND BLUE SHIEL
NC
01
—
2804404
MEDICARE-CIGNA
NC
05
—
34-3924A
—
NC
Enumeration date
09/17/2005
Last updated
08/22/2020
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