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Organization
UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC
Active
Organization
UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC
Active
Other names
Clinton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE CHRISTINE FISCUS MD (CMO)
(984) 215-4111
Entity
Organization
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2311
(910) 592-6011
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
208000000X
Pediatrics Physician
—
NC
363A00000X
Physician Assistant
—
NC
363L00000X
Nurse Practitioner
—
NC
Other
Enumeration date
10/29/2014
Last updated
08/14/2019
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