Organization
PRIMARY HEALTH CARE MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LOCKLEAR (CREDENTIALING SPECIALIST)
(910) 865-3500
Entity
Organization
Contact information
Practice address
4701 FAYETTEVILLE RD, LUMBERTON, NC 28358-2697
(910) 738-3939
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
(910) 865-3500
(910) 865-3874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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