Organization
VCG SPRING LAKE INC
Active
Organization
VCG SPRING LAKE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LONG SAUNDERS (OFFICE MANAGER)
(910) 867-5500
Entity
Organization
Contact information
Practice address
810 CHAPEL HILL RD, SPRING LAKE, NC 28390-2140
(910) 867-5500
(910) 867-4120
Mailing address
810 CHAPEL HILL RD, SPRING LAKE, NC 28390-2140
(910) 867-5500
(910) 867-4120
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0849Y
BLUE CROSS BLUE SHIELD
NC
05
—
890849Y
—
NC
Enumeration date
06/02/2008
Last updated
06/02/2008
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