Individual
DR. HARRISON B BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-1799
Mailing address
3913 NEWGATE ST, FAYETTEVILLE, NC 28306-7486
(770) 262-7761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-01252
NC
Other
Enumeration date
08/10/2009
Last updated
11/08/2016
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