Organization
IMPACT HEALTHCARE, P.A.
Active
Other names
Impact Primary and Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER JOHNSON MONTGOMERY F-N.P (AUTHORIZED OFFICIAL)
(919) 690-8588
Entity
Organization
Contact information
Practice address
315 FRANKLIN PLZ, LOUISBURG, NC 27549-2765
(919) 496-4976
Mailing address
315 FRANKLIN PLZ, LOUISBURG, NC 27549-2765
(919) 496-4976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-01723
NC
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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