Organization
LOUISBURG FAMILY PRACTICE AND PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP EARL STOVER MD (MEDICAL DIRECTOR / OWNER)
(919) 496-1247
Entity
Organization
Contact information
Practice address
1501 N BICKETT BLVD, SUITE G, LOUISBURG, NC 27549-2178
(919) 496-1247
(919) 496-3307
Mailing address
PO BOX 239, LOUISBURG, NC 27549-0239
(919) 496-1247
(919) 496-3307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25447
NC
208VP0000X
Pain Medicine Physician
25447
NC
Other
Enumeration date
12/02/2009
Last updated
03/10/2010
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