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Organization
WEST PRIMARY CARE, INC
Active
Organization
WEST PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN L JACOBS (OFFICE MANAGER)
(910) 521-8484
Entity
Organization
Contact information
Practice address
102 LIVERMORE DR, PEMBROKE, NC 28372-7270
(910) 521-8484
(910) 521-9765
Mailing address
102 LIVERMORE DR, PEMBROKE, NC 28372-7270
(910) 521-8484
(910) 521-9765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129YX
—
NC
Enumeration date
01/12/2007
Last updated
09/16/2014
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