Organization
ALBEMARLE FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY L SUTTON (PRACTICE MANAGER)
(252) 335-5424
Entity
Organization
Contact information
Practice address
160C HWY 158, CAMDEN, NC 27921-6908
(252) 334-9527
(252) 334-1501
Mailing address
1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
(252) 335-5424
(252) 335-9084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
NC
01
—
012T4
BLUE CROSS
NC
05
—
5900660
—
NC
05
—
5905264
—
NC
05
—
8922603
—
NC
01
—
CJ3847
RAILROAD MEDICARE
NC
Enumeration date
02/20/2007
Last updated
05/21/2020
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