# FAMILY MEDICINE OF HARNETT COUNTY, INCORPRATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harnett Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821053307
- **Authorized official:** MRS. ROBIN WARREN BLACKWELDER (INSURANCE MANAGER)
- **Authorized official phone:** (910) 897-5521

## Contact information

- **Practice address:** 901 DENIM DR, ERWIN, NC 28339-2307
- **Practice address phone:** (910) 897-5521
- **Practice address fax:** (910) 897-2003
- **Mailing address:** 901 DENIM DR, ERWIN, NC 28339-2307
- **Mailing address phone:** (910) 897-5521
- **Mailing address fax:** (910) 897-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200801349 | NC | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 05/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89014FT | — | NC |