Organization
CHARLES W PLUMMER MD PA
Active
Other names
Randy Long, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY H. LOVELACE (OFFICE MANAGER)
(336) 249-8760
Entity
Organization
Contact information
Practice address
114 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 249-8760
(336) 249-2710
Mailing address
114 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 249-8760
(336) 249-2710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24982
NC
207LA0401X
Addiction Medicine (Anesthesiology) Physician
24982
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
24982
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130L
BCBS PROVIDER NUMBER
NC
05
—
7952594
—
NC
Enumeration date
05/23/2006
Last updated
02/23/2017
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