Organization
LUMBERTON INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAC ADOLF MONTILUS M.D. (DR. MAC MONTILUS, MD)
(910) 272-8800
Entity
Organization
Contact information
Practice address
4314 LUDGATE ST, LUMBERTON, NC 28358-2461
(910) 272-8800
(910) 272-0508
Mailing address
4314 LUDGATE ST, LUMBERTON, NC 28358-2461
(910) 272-8800
(910) 272-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
207R00000X
Internal Medicine Physician
97-01503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014KA
BCBS#
NC
05
—
89014KA
—
NC
05
—
891079Q
—
NC
05
—
891368C
—
NC
Enumeration date
11/17/2006
Last updated
09/11/2025
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