# ANGEL FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1164672515
- **Authorized official:** MS. DAWN TRACY LANGLEY PA-C (PRESIDENT/CEO)
- **Authorized official phone:** (910) 272-6422

## Contact information

- **Practice address:** 201 EAST LIVERMORE DRIVE, PEMBROKE, NC 28372
- **Practice address phone:** (910) 272-6422
- **Practice address fax:** (910) 521-4237
- **Mailing address:** 201 LIVERMORE DR, PEMBROKE, NC 28372-7322
- **Mailing address phone:** (910) 272-6422
- **Mailing address fax:** (910) 521-4237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 102637 | NC | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2008