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Organization
LOUISBURG FAMILY PRACTICE AND PAIN MANAGEMENT PLLC
Active
Organization
LOUISBURG FAMILY PRACTICE AND PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP EARL STOVER MD (MEDICAL DIRECTOR / OWNER)
(919) 496-1247
Entity
Organization
Contact information
Practice address
1501 N BICKETT BLVD, SUITE G, LOUISBURG, NC 27549-2178
(919) 496-1247
(919) 496-3307
Mailing address
PO BOX 239, LOUISBURG, NC 27549-0239
(919) 496-1247
(919) 496-3307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25447
NC
208VP0000X
Pain Medicine Physician
25447
NC
Other
Enumeration date
12/02/2009
Last updated
03/10/2010
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