# SCOTLAND PRIMARY CARE CLINIC INC

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

## Provider details

- **NPI number:** 1770872228
- **Authorized official:** MRS. JONNA LYNN SQUIRES MPHA (INSURANCE BILLING MANAGER)
- **Authorized official phone:** (910) 506-4679

## Contact information

- **Practice address:** 805 S MAIN ST, LAURINBURG, NC 28352-4724
- **Practice address phone:** (910) 506-4679
- **Practice address fax:** (910) 506-4699
- **Mailing address:** 805 S MAIN ST, LAURINBURG, NC 28352-4724
- **Mailing address phone:** (910) 506-4679
- **Mailing address fax:** (910) 506-4699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 900344 | NC | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 12/23/2015