# UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES

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

## Provider details

- **NPI number:** 1356845309
- **Authorized official:** DR. JEFFERY L. HOWARD ED.D (VICE CHANCELLOR FOR STUDENT AFFAIRS)
- **Authorized official phone:** (910) 521-6175

## Contact information

- **Practice address:** 113 HAWK DRIVE, PEMBROKE, NC 28372-1510
- **Practice address phone:** (910) 521-6219
- **Practice address fax:** (910) 521-6549
- **Mailing address:** PO BOX 1510 UNC PEMBROKE STUDENT HEALTH SERVICES, PEMBROKE, NC 28372-1510
- **Mailing address phone:** (910) 521-6219
- **Mailing address fax:** (910) 521-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 183091 | NC | Yes |
| 207QA0505X | Adult Medicine Physician | 183091 | NC | — |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 07/13/2026