Organization
MOUNTAIN LAUREL MIDWIFERY ASSOCIATES PA
Active
Other names
Mountain Laurel Women's Health Care P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA KING HESTER C.N.M. (CERTIFIED NURSE MIDWIFE)
(828) 248-1990
Entity
Organization
Contact information
Practice address
218 DOGGETT RD, FOREST CITY, NC 28043-8203
(828) 248-1990
(828) 248-1198
Mailing address
218 DOGGETT RD, FOREST CITY, NC 28043-8203
(828) 248-1990
(828) 248-1198
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1109M
BCBSNC PROVIDER #
NC
01
—
7000033
MEDICAID GROUP #
NC
05
—
7000081
—
NC
Enumeration date
12/28/2006
Last updated
02/23/2012
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