# ALBEMARLE FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1831296086
- **Authorized official:** MRS. BEVERLY L SUTTON (PRACTICE MANAGER)
- **Authorized official phone:** (252) 335-5424

## Contact information

- **Practice address:** 1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
- **Practice address phone:** (252) 335-5424
- **Practice address fax:** (252) 335-1077
- **Mailing address:** 1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
- **Mailing address phone:** (252) 335-5424
- **Mailing address fax:** (252) 335-1077

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 012T4 | BCBS | NC |
| 05 | — | 5900660 | — | NY |
| 05 | — | 8922603 | — | NC |
| 01 | — | CJ3847 | RAILROAD MEDICARE | NC |