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Organization
RAEFORD FAMILY CARE CENTER PC
Active
Organization
RAEFORD FAMILY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE L FARMER PAC (OWNER)
(910) 875-4545
Entity
Organization
Contact information
Practice address
1090 E CENTRAL AVE, RAEFORD, NC 28376-3039
(910) 875-4545
(910) 875-8972
Mailing address
PO BOX 1041, LUMBERTON, NC 28359-1041
(910) 738-5850
(910) 738-5855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005-01721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014TX
NC BCBS
NC
05
—
89014TX
—
NC
Enumeration date
04/06/2006
Last updated
08/26/2013
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