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Organization

CAROLINA PREMIER HEALTH CARE PA

Active
Other names
Family Care Plus
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW SUMMERS MD (PRESIDENT)
(910) 693-1698
Entity
Organization

Contact information

Practice address
630 S BENNETT STREET, SOUTHERN PINES, NC 28384
(910) 693-1678
(910) 693-1612
Mailing address
630 S BENNETT STREET, SOUTHERN PINES, NC 28384
(910) 693-1678
(910) 693-1612

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38219
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01241
GROUP BCBS
NC
01
022757
DOCTORS HEALTH PLAN
01
56142
HEALTHCARE SAVINGS
01
80897
BCBS
NC
05
89012H1
NC
05
8980897
NC
01
FH2000455
FIRST CAROLINA CARE
NC
Enumeration date
10/23/2006
Last updated
08/22/2020
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