# LITTLETON FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1831150366
- **Authorized official:** DR. LAURALEE WILSON MD (OFFICE MANAGER)
- **Authorized official phone:** (252) 586-4923

## Contact information

- **Practice address:** 143 ELAMS RD, LITTLETON, NC 27850-8479
- **Practice address phone:** (252) 586-4923
- **Practice address fax:** (252) 586-9809
- **Mailing address:** 143 ELAMS RD, LITTLETON, NC 27850-8479
- **Mailing address phone:** (252) 586-4923
- **Mailing address fax:** (252) 586-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 017EP | BLUE CROSS BLUE SHIELD | — |