# CAROLINA PREMIER HEALTH CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care Plus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295818441
- **Authorized official:** DR. ANDREW SUMMERS MD (PRESIDENT)
- **Authorized official phone:** (910) 693-1698

## Contact information

- **Practice address:** 630 S BENNETT STREET, SOUTHERN PINES, NC 28384
- **Practice address phone:** (910) 693-1678
- **Practice address fax:** (910) 693-1612
- **Mailing address:** 630 S BENNETT STREET, SOUTHERN PINES, NC 28384
- **Mailing address phone:** (910) 693-1678
- **Mailing address fax:** (910) 693-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 38219 | NC | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01241 | GROUP BCBS | NC |
| 01 | — | 022757 | DOCTORS HEALTH PLAN | — |
| 01 | — | 56142 | HEALTHCARE SAVINGS | — |
| 01 | — | 80897 | BCBS | NC |
| 05 | — | 89012H1 | — | NC |
| 05 | — | 8980897 | — | NC |
| 01 | — | FH2000455 | FIRST CAROLINA CARE | NC |