Organization
RED SPRINGS FAMILY MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE HOLLINGSWORTH PA-C (PRESIDENT)
(910) 843-9991
Entity
Organization
Contact information
Practice address
229 S MAIN ST, RED SPRINGS, NC 28377-1621
(910) 843-9991
(910) 843-9995
Mailing address
229 S MAIN ST, PO BOX 391, RED SPRINGS, NC 28377-1621
(910) 843-9991
(910) 843-9995
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8931376
—
NC
Enumeration date
06/22/2006
Last updated
08/22/2020
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