Individual
ANTHONY ELIJAH LOCKLEAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
628 N 8TH ST, SMITHFIELD, NC 27577
(919) 934-8171
Mailing address
1408 E 11TH ST, LUMBERTON, NC 28358-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16367
NC
363AM0700X
Medical Physician Assistant
0010-16367
NC
363AM0700X
Medical Physician Assistant
Primary
1217979
NC
Other
Enumeration date
01/08/2026
Last updated
03/12/2026
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