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Organization
CAMPBELL UNIVERSITY HEALTH CENTER, LLC
Active
Organization
CAMPBELL UNIVERSITY HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES O ROBERTS (VICE PRESIDENT FOR BUSINESS & TREAS)
(910) 893-1240
Entity
Organization
Contact information
Practice address
129 TT LANIER ST, BUIES CREEK, NC 27506
(910) 893-1562
(910) 893-1559
Mailing address
PO BOX 565, BUIES CREEK, NC 27506-0565
(910) 893-1562
(910) 893-1559
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
NULL
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/24/2012
Last updated
03/08/2013
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