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Organization
WADESBORO FAMILY MEDICINE PA
Active
Organization
WADESBORO FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ELAINE BRACEY MD (DOCTOR)
(704) 694-3599
Entity
Organization
Contact information
Practice address
212 S RUTHERFORD ST, WADESBORO FAMILY MEDICINE PA, WADESBORO, NC 28170
(704) 694-3599
(704) 695-1759
Mailing address
212 S RUTHERFORD ST, WADESBORO, NC 28170
(704) 694-3599
(704) 695-1759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9600327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891003T
—
NC
Enumeration date
09/14/2006
Last updated
12/18/2012
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