Organization
FAMILY URGENT CARE OF AMERICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARLIE T JOHNSON JR. M.D. (PRESIDENT)
(910) 346-1188
Entity
Organization
Contact information
Practice address
2580 HENDERSON DR, JACKSONVILLE, NC 28546-5252
(910) 346-1188
Mailing address
2580 HENDERSON DR, JACKSONVILLE, NC 28546-5252
(910) 346-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154H
BCBS
NC
05
—
890154H
—
NC
Enumeration date
03/28/2006
Last updated
08/22/2020
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