Organization
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L. SCHAEFFER (VICE CHANCELLOR FOR STUDENT AFFAIRS)
(910) 521-6175
Entity
Organization
Contact information
Practice address
113 HAWK DRIVE, PEMBROKE, NC 28372-1510
(910) 521-6219
(910) 521-6549
Mailing address
P.O. BOX 1510, ONE UNIVERSITY DRIVE, PEMBROKE, NC 28372-1510
(910) 521-6219
(910) 521-6549
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
183091
NC
207QA0505X
Adult Medicine Physician
183091
NC
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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