# BLISS MEDICAL GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720303795
- **Authorized official:** LAURA KATHERINE BLISS MD (PRESIDENT)
- **Authorized official phone:** (919) 563-4444

## Contact information

- **Practice address:** 132 MILLSTEAD DR, MEBANE, NC 27302-7165
- **Practice address phone:** (919) 563-4444
- **Practice address fax:** (919) 563-4442
- **Mailing address:** 132 MILLSTEAD DR, MEBANE, NC 27302-7165
- **Mailing address phone:** (919) 563-4444
- **Mailing address fax:** (919) 563-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9500018 | NC | Yes |

## Other

- **Enumeration date:** 04/02/2010
- **Last updated:** 05/25/2010