Organization
NC GAA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BEAR (CEO)
(888) 337-3509
Entity
Organization
Contact information
Practice address
1011 WOODRIDGE DR, LUMBERTON, NC 28358-3328
(910) 739-8825
(910) 739-8823
Mailing address
PO BOX 865222, ORLANDO, FL 32886-5222
(888) 337-3509
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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