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Organization
LUMBERTON INTERNAL MEDICINE GROUP
Active
Organization
LUMBERTON INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAC ADOLF MONTILUS M.D. (DR. MAC MONTILUS, MD)
(910) 272-8800
Entity
Organization
Contact information
Practice address
4314 LUDGATE ST, LUMBERTON, NC 28358-2461
(910) 272-8800
(910) 272-0508
Mailing address
4314 LUDGATE ST, LUMBERTON, NC 28358-2461
(910) 272-8800
(910) 272-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
207R00000X
Internal Medicine Physician
97-01503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014KA
BCBS#
NC
05
—
89014KA
—
NC
05
—
891079Q
—
NC
05
—
891368C
—
NC
Enumeration date
11/17/2006
Last updated
09/11/2025
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