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Organization
LUMBERTON EMERGENCY PHYSICIANS
Active
Organization
LUMBERTON EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CLEARY MD (PRESIDENT)
(910) 737-3140
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(800) 476-8646
(919) 382-3210
Mailing address
75 REMITTANCE DR, SUITE 6679, CHICAGO, IL 60675-1001
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9999999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021N9
BCBS OF NORTH CAROLINA
NC
Enumeration date
04/16/2009
Last updated
06/22/2009
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