# LOUISBURG FAMILY PRACTICE AND PAIN MANAGEMENT PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295063279
- **Authorized official:** PHILLIP EARL STOVER MD (MEDICAL DIRECTOR / OWNER)
- **Authorized official phone:** (919) 496-1247

## Contact information

- **Practice address:** 1501 N BICKETT BLVD, SUITE G, LOUISBURG, NC 27549-2178
- **Practice address phone:** (919) 496-1247
- **Practice address fax:** (919) 496-3307
- **Mailing address:** PO BOX 239, LOUISBURG, NC 27549-0239
- **Mailing address phone:** (919) 496-1247
- **Mailing address fax:** (919) 496-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25447 | NC | Yes |
| 208VP0000X | Pain Medicine Physician | 25447 | NC | — |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 03/10/2010