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Organization

PROFESSIONAL CARE SERVICES PROVIDERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FERRISS YARNELL LOCKLEAR SR. M.D. (CEO/DIRECTOR)
(910) 618-0900
Entity
Organization

Contact information

Practice address
303 BAILEY RD, LUMBERTON, NC 28358-2427
(910) 739-5891
Mailing address
303 BAILEY RD, LUMBERTON, NC 28358-2427

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01444
NC

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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