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Organization

UNION COUNTY WOMEN'S CARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILLICENT AUGUSTA FRANCIS-LANE M.D. (ADMINISTRATOR)
(704) 289-8129
Entity
Organization

Contact information

Practice address
1424 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 289-8129
(704) 289-5967
Mailing address
1424 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 289-8129
(704) 289-5967

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8933643
NC
01
N31816
MEDICAID SOUTH CAROLINA
SC
Enumeration date
11/09/2007
Last updated
12/17/2007
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