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Organization
WOLONICK FAMILY PRACTICE, P.A.
Active
Organization
WOLONICK FAMILY PRACTICE, P.A.
Active
Other names
Richard C. Wolonick, D.O., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C WOLONICK D.O. P.A. (PHYSICIAN)
(910) 277-8044
Entity
Organization
Contact information
Practice address
106 MCALPINE LANE, LAURINBURG, NC 28352-4637
(910) 277-8044
Mailing address
106 MCALPINE LANE, LAURINBURG, NC 28352-4637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144N
BLUECROSS OF NC GROUP
NC
01
—
1005846001
CIGNA ID
NC
01
—
1155M
PERSONAL BLUECROSS #
NC
05
—
790144N
—
NC
05
—
891155M
—
NC
01
—
FH1001400
FIRST CAROLINA CARE
NC
05
—
N01899
—
SC
05
—
NPA806
—
SC
01
—
P00115379
MEDICARE RAILROAD
NC
Enumeration date
12/20/2006
Last updated
12/04/2007
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