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Organization
SCOTS PINE CLINIC, PLLC
Active
Organization
SCOTS PINE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK BERYL HANMER M.D. (MEMBER / MANAGER)
(910) 276-1775
Entity
Organization
Contact information
Practice address
515 E LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(910) 276-1775
(910) 276-1773
Mailing address
PO BOX 1205, 515 E. LAUCHWOOD DR, LAURINBURG, NC 28353-1205
(910) 276-1775
(910) 276-1773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89138AP
—
NC
Enumeration date
08/22/2006
Last updated
07/20/2010
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