Organization
SWANSBORO FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RANTON MD (OWNER)
(910) 326-2086
Entity
Organization
Contact information
Practice address
1106 MAIN STREET EXT, SWANSBORO, NC 28584-9114
(910) 326-2086
(910) 326-2199
Mailing address
1106 MAIN STREET EXT, SWANSBORO, NC 28584-9114
(910) 326-2086
(910) 326-2199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015A1
BCBS GROUP NO.
NC
05
—
89015A1
—
NC
Enumeration date
06/02/2006
Last updated
08/22/2020
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