# GENERATIONS FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1962658237
- **Authorized official:** ROBYN L REED CMOM (CMOM OFFICE MGT.)
- **Authorized official phone:** (910) 653-6610

## Contact information

- **Practice address:** 106 TABOR CROSSING, TABOR CITY, NC 28463
- **Practice address phone:** (910) 653-6610
- **Practice address fax:** (910) 653-6606
- **Mailing address:** 106 TABOR CROSSING, TABOR CITY, NC 28463
- **Mailing address phone:** (910) 653-6610
- **Mailing address fax:** (910) 653-6606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200801162 | NC | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 11/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5909978 | — | NC |