# NORTHSTAR MEDICAL GROUP

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

## Provider details

- **NPI number:** 1801551965
- **Authorized official:** RALPH CARTER BOBBITT JR. MD (CO-OWNER)
- **Authorized official phone:** (336) 298-7557

## Contact information

- **Practice address:** 7779 NC HIGHWAY 68 N STE 2A, STOKESDALE, NC 27357-9496
- **Practice address phone:** (336) 298-7557
- **Practice address fax:** (336) 298-7551
- **Mailing address:** 7779 NC HIGHWAY 68 N STE 2A, STOKESDALE, NC 27357-9496
- **Mailing address phone:** (336) 298-7557
- **Mailing address fax:** (336) 298-7551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 04/11/2022