# CNC FAMILY MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1952305401
- **Authorized official:** MR. DAVID NELSON BUCKLAND PA-C (PRESIDENT)
- **Authorized official phone:** (910) 428-1111

## Contact information

- **Practice address:** 128 OKEEWEMEE STAR RD, STAR, NC 27356-7343
- **Practice address phone:** (910) 428-1111
- **Practice address fax:** (910) 428-2506
- **Mailing address:** PO BOX 190, STAR, NC 27356-0190
- **Mailing address phone:** (910) 428-1111
- **Mailing address fax:** (910) 428-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 08/22/2020